Modern neuraxial labor analgesia: options for initiation, maintenance and drug selection
نویسندگان
چکیده
منابع مشابه
Modern neuraxial labor analgesia: options for initiation, maintenance and drug selection.
In the present review we outline the state-of-the-art of neuraxial analgesia. As neuraxial analgesia remains the gold standar of analgesia during labor, we review the most recent literature on this topic. The neuraxial analgesia techniques, types of administration, drugs, adjuvants, and adverse effects are investigated from the references. Most authors would agree that central neuraxial analges...
متن کاملModern neuraxial labor analgesia: options for initiation, maintenance and drug selection
Almost two decades have passed since French and American trials evaluated the use of spinal opioids during labor and since European randomized trials compared conventional epidural analgesia with combined spinal epidural (CSE) analgesia. CSE analgesia has gained worldwide acceptance and is becoming increasingly popular for labor pain relief. Obstetric anesthetists are divided when questioned on...
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The availability of safe, effective analgesia during labor has become an expectation for women in most of the developed world over the past two or three decades. More than 60% of women in the United States now receive some kind of neuraxial procedure during labor. This article is a brief review of the advantages and techniques of neuraxial labor analgesia along with the recent advances and cont...
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PURPOSE OF REVIEW This article reviews the challenging practice of systemic analgesia as an alternative to epidural analgesia for labor pain, and places remifentanil within the context of opioid analgesics suitable for managing for labor pain. RECENT FINDINGS Although systemic opioids have long been used for labor analgesia, they have become less popular because of frequent maternal and neona...
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Neuraxial analgesia is widely accepted as the most effective and the least depressant method of providing pain relief in labor. Over the last several decades neuraxial labor analgesia techniques and medications have progressed to the point now where they provide high quality pain relief with minimal side effects to both the mother and the fetus while maximizing the maternal autonomy possible fo...
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ژورنال
عنوان ژورنال: Revista Española de Anestesiología y Reanimación
سال: 2009
ISSN: 0034-9356
DOI: 10.1016/s0034-9356(09)70457-8