SPINAL-EPIDURAL ANALGESIA

Spinal Epidural Analgesia

Combined spinal-epidural versus epidural labor analgesia.

BACKGROUND Despite the growing popularity of combined spinal-epidural analgesia in laboring women, the exact role of intrathecal opioids and the needle-through-needle technique remains to be determined. The authors hypothesized that anesthetic technique would have little effect on obstetric outcome or anesthetic complications. METHODS Data were prospectively collected from 2,183 laboring wome...

Spinal or epidural analgesia? Difference in methods.

We read the paper published in the Journal with great interest on the comparative study of the analgesic role of bupivacaine (S75-R25) and ropivacaine in labor pain control 1. The study gave original information regarding the analgesic effect of the newly mixed solution of bupivacaine containing 75% of the S isomer and 25% of the R isomer and ropivacaine, and the authors declared that these two...

Combined spinal-epidural analgesia in labor.

Background: Combined spinal-epidural (CSE) analgesia is becoming increasingly used to provide pain relief during labor. It combines both the rapid onset of the spinal analgesia and the flexibility of the epidural catheter. Intrathecal sufentanil provides rapid-onset and profound analgesia during the first stage of labor. The dose required to produce this effect can be associated with maternal r...

Combined Spinal Epidural Anesthesia and Analgesia

In principle, the combination of two different administration of anesthesia routes on the same patient improves effectiveness and reduces side effects (Stevens and Edwards, 1999) [B]: Spinal anesthesia provides fast and reliable segmental anesthesia with minimal risk for toxicity, while epidural anesthesia provides perioperative anesthesia (alone or in combination with general anesthesia), foll...