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Safety Steps for Epidural Injection of Local Anesthetics: Review of the Literature and Recommendations
Despite years of use, controversy still surrounds the appropriate steps to ensure the safe initiation of epidural anesthesia, including unintentional subdural, subarachnoid, and IV drug injection. Expand
Comparison among intrathecal fentanyl, meperidine, and sufentanil for labor analgesia.
Meperidine appears to provide more reliable analgesia as the first stage of labor progresses, and fentanyl, meperidine, or sufentanil can provide adequate first-stage labor analgesia. Expand
Complications of labor analgesia: epidural versus combined spinal epidural techniques.
The data suggest either neuraxial analgesic technique can safely relieve the pain of labor and CSE analgesia is a safe alternative to epidural analgesia for labor and delivery. Expand
Needle bevel direction and headache after inadvertent dural puncture.
Identifying the epidural space with the needle bevel oriented parallel to the longitudinal dural fibers limits the size of the subsequent dural tear and, therefore, lowers the incidence of headache should dural perforation occur. Expand
Complications of Labor Analgesia
Both epidural and combined spinal epidural (CSE) analgesia can provide maternal pain relief during labor and the incidence and severity of anesthetic-related complications in laboring parturien is recorded. Expand
Patient variables and the subarachnoid spread of hyperbaric bupivacaine in the term parturient.
  • M. Norris
  • Medicine
  • Anesthesiology
  • 1 October 1990
In parturients of age, height, weight, body mass index, and vertebral column length within the aforementioned ranges, it is not necessary to vary the dose of injected hyperbaric bupivacaine with changes in any of the patient variables studied. Expand
Incidence of Electrocardiographic Changes During Cesarean Delivery Under Regional Anesthesia
It is speculated that myocardial ischemia is a likely cause of both the electrocardiographic changes seen in these patients and of the symptoms of chest pain and dyspnea that they sometimes experience. Expand
Height, Weight, and the Spread of Subarachnoid Hyperbaric Bupivacaine in the Term Parturient
Using a standardized technique, spinal anesthesia was induced in 50 term parturients to study the correlation between patient height, weight, and body mass index (BMI) and the spread of sensoryExpand
The Dermatomal Spread of Epidural Bupivacaine With and Without Prior Intrathecal Sufentanil
In conclusion, epidural bupivacaine anesthetized more dermatomes when administered 104 +/- 42 min after dural puncture and intrathecal sufentanil 10 micro gram than when given without prior duraluncture and intr Athecal injection. Expand