Clinical observation suggests that the number of serious epidural catheter-associated infections have increased recently in children. This increase is likely attributed to an increase in reporting and in frequency of epidural analgesia usage. Estimates of infection rates are difficult to determine primarily because of insufficient study of large pediatric populations. In this retrospective stud...

local anesthetic solutions are frequently mixed to take advantage of the useful properties of each drug but the medical literature is surprisingly deficient in well controlled studies about the onset and duration of action of these mixtures for epidural anesthesia. a total of 32 patients scheduled for elective operation were enrolled in this prospective randomized controlled study; in group i, ...

conclusions ct epidurography is not closely correlated with a clinical assessment of epidural block; thus, a clinical assessment of the sensory block is mandatory. the use of opioid analgesia in combination with local anesthetics may compensate for the lack of efficacy of local anesthetics alone. objectives the primary objective of this study was to evaluate, by ct imaging and digital multiplan...

conclusions the addition of tramadol to epidural 2% lidocaine offers advantages in cesarean section. results in the lt100 group, onset of complete sensory and motor blockade at t6 was less than in the two other groups, but the highest level of sensory blockade and two segment regression and duration of motor blockades between the lt50 and lt100 groups were not significantly different, although ...

the aim of this study was to determine whether anesthesia consisting of sedation induced by intramuscular administration of xylazine-diazepam and lumbosacral analgesia induced by epidural administration of lidocaine and xylazine is satisfactory for castration and ovariohysterectomy in cats. six adult (3 male and 3 female, 2.5 ± 0.5 years of age) cats (mean body weight ± sd, 2.2 ± 0.44 kg) were ...

BACKGROUND Epidural analgesia is frequently associated with hyperthermia during labor and in the postoperative period. The conventional assumption is that hyperthermia is caused by the technique, although no convincing mechanism has been proposed. However, pain in the "control" patients is inevitably treated with opioids, which themselves attenuate fever. Fever associated with infection or tiss...

BACKGROUND Pain after vaginal delivery can interfere with the activities of daily living. We hypothesized that epidural medication administered after delivery would be of benefit for acute postpartum pain management. The objective of this study was to assess whether epidural morphine after vaginal delivery would reduce the analgesic requirements for perineal pain. METHODS This randomized, dou...

BACKGROUND Thoracic epidural anesthesia (TEA) is frequently used to maintain intraoperative analgesia. After injecting the initial bolus dose of epidural local anesthetics (LA), intermittent injection of LA through an epidural catheter is required to maintain the intraoperative analgesia. For intermittent epidural administration, usually 2 - 5 mL of LA has been used. However, no studies have su...

BACKGROUND Epidural block failures can occur due to a misleading loss of resistance (LOR) signal. OBJECTIVE This study was designed to evaluate the false LOR rate and to determine whether the Epidrum, which is an LOR device for identifying the epidural space, improves the ability to find the epidural space during cervical epidural injection compared the LOR technique. STUDY DESIGN A randomi...

UNLABELLED The risk of wound infections is inversely related to subcutaneous tissue oxygen tension. General anesthesia increases local blood flow by direct vasodilation and central inhibition of thermoregulatory vasoconstriction. Epidural anesthesia can increase perfusion in blocked regions by decreasing sympathetic tone. We therefore tested the hypothesis that epidural anesthesia increases tis...