• Publications
  • Influence
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
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
Using Heart Rate Variability to Stratify Risk of Obstetric Patients Undergoing Spinal Anesthesia
PD2 shows promise as a predictor of hypotension in pregnant women receiving spinal anesthesia after the administration of spinal anesthesia with bupivacaine, and all 11 patients without hypotension were in the LO group. Expand
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
Choosing wisely in anesthesiology: the gap between evidence and practice.
To develop a "top-five" list of unnecessary medical services in anesthesiology, we undertook a multistep survey of anesthesiologists, most of whom were in academic practice, and a consequentExpand
A Randomized, Double-masked, Multicenter Comparison of the Safety of Continuous Intrathecal Labor Analgesia Using a 28-Gauge Catheter versus Continuous Epidural Labor Analgesia
Providing intrathecal labor analgesia with sufentanil and bupivacaine via a 28-gauge catheter has an incidence of neurologic complication less than 1%, and produces better initial pain relief and higher maternal satisfaction, but is associated with more technical difficulties and catheter failures compared with epidural analgesia. Expand
Intrathecal Sufentanil Dose Response in Nulliparous Patients
This is the first study to determine the ED50 of intrathecal sufentanil in spontaneously laboring nulliparous patients, and as dose‐response curves are determined for other labor analgesics, future studies can compare equianalgesic doses or dose combinations. Expand
The Influence of Epidural Needle Bevel Orientation on Spread of Sensory Blockade in the Laboring Parturient
This prospective study shows that an epidural catheter inserted through a needle oriented in the cephalad direction increases the success of labor analgesia in the parturient. Expand
Ilioinguinal Iliohypogastric Nerve Blocks--Before or After Cesarean Delivery Under Spinal Anesthesia?
There is no benefit to ilioinguinal nerve blocks, either before or after surgery, in patients who receive spinal anesthesia for elective cesarean delivery, and the finding of increased pain in the After group is perplexing and requires confirmation. Expand