BACKGROUND Despite epidural analgesia increasingly being utilized in hospitals, very little research-based evidence is available about registered nurses' (RNs) and midwives' knowledge of this technique. OBJECTIVE To describe the current epidural knowledge levels of RNs and midwives in a multi-site setting. METHOD RNs and midwives at four, regional teaching facilities completed an epidural k...

BACKGROUND We report a prospective, randomized study to evaluate ultrasound guidance for epidural catheter placement in children 0-6 yr of age. METHODS Epidural catheters were placed at lumbar or thoracic cord levels in 64 children undergoing major surgery, using either ultrasonography or loss-of-resistance (LOR) for guidance. Using a 5-10 MHz linear ultrasound probe, the neuraxial structures...

34 Controversies in Breastfeeding Success: The Role of Epidural Analgesia and Epidural Fentanyl, A Meta-Analysis Abstract Type: Meta Analysis/Review of the Li Natalie C. Moreland, M.D.; Amy I. Lee, M.D.; Cynthia A. Wong, M.D.; Paloma Toledo, M.D., M.P.H. Northwestern University Feinberg School of MedicineType: Meta Analysis/Review of the Li Natalie C. Moreland, M.D.; Amy I. Lee, M.D.; Cynthia A...

BACKGROUND The literature is replete with evaluations of failed surgery, illustrating a 9.5%-25% reoperation rate. Speculated causes of post lumbar surgery syndrome include epidural fibrosis, acquired stenosis, recurrent disc herniation, sacroiliac joint pain, and facet joint pain among other causes. METHODS Patients (n = 120) were randomly assigned to two groups with a 2-year follow-up. Grou...

conclusions the pil epidural injection is as effective as tf epidural injection in improving pain and functional status, in patients with chronic lumbosacral low back pain, due to disc degeneration. results effective pain relief [numeric rating scale (nrs) < 3] was observed in 77.3% (95% ci: 67‒90.5%) of patients in pil group and 74.2% (95% ci: 62.4 - 89.4%) of patients in the tf group (p = 0.3...

conclusions both intravenous and epidural analgesic techniques with combination of analgesics provide proper postoperative pain control after major gynecologic cancer surgeries without any significant complications. regarding lower sedative and respiratory depressant effects of epidural analgesia, it seems that this method is a safer technique for postoperative pain relief in these patients. re...