By M. Joanne Douglas, Stephen H. Halpern
This can be the 1st textual content to systematically overview the proof for obstetric anesthesia and analgesia.
Evidence-based perform is now being embraced all over the world as a demand for all clinicians; within the daily use of anesthesia and analgesia for childbirth, anesthetists will locate this synthesis of the simplest facts a useful source to notify their practice.
Contributions from anesthetic experts educated within the abilities of systematic reviewing supply a finished and sensible advisor to top perform in common and caesarean part childbirth.
This ebook, coming from one of many world’s top obstetric facilities and the cradle of evidence-based drugs, is a far wanted addition to the obstetric anesthesia literature.
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7 Curry PD, Pacsoo C, Heap DG. Patient-controlled epidural analgesia in obstetric anaesthetic practice. Pain 1994;57:125– 7. 8 Eriksson SL, Gentels C, Olofsson CH. PCEA compared to continuous epidural infusion in an ultra-low-dose regimen for labor pain relief: a randomized study. Acta Anaesthesiol Scand 2003;47:1085–90. Maintenance of epidural analgesia for labor 9 Ferrante FM, Lu L, Jamison SB, Datta S. Patient-controlled epidural analgesia: demand dosing. Anesth Analg 1991;73: 547–52. 10 Ferrante FM, Barber MJ, Segal M, Hughes NJ, Datta S.
Br J Obstet Gynaecol 2001;108:27–33. 13 Jain S, Arya VK, Gopalan S, Jain V. Analgesic efﬁcacy of intramuscular opioids versus epidural analgesia in labor. Int J Gynaecol Obstet 2003;83:19–27. 14 Loughnan BA, Carli F, Romney M, Doré CJ, Gordon H. Randomized controlled comparison of epidural bupivacaine versus pethidine for analgesia in labor. Br J Anaesth 2000;84:715–9. 15 Muir HA, Shukla R, Liston R, Writer D. Randomized trial of labor analgesia: a pilot study to compare patient-controlled intravenous analgesia with patient-controlled epidural analgesia to determine if analgesic method affects delivery outcome.
Of these none received meperidine but 7 did not receive any analgesia In the IV meperidine group 352/607 followed the protocol. Of the 255 that did not, 102 received a CSE and 42 declined analgesia. In the CSE group, 400/616 followed the protocol. Of the 216 that did not, 82 received meperidine and 52 declined analgesia Crossover rate CSE, combined spinal epidural; IM, intramuscular; IV, intravenous; PCA, patient-controlled analgesia; PCEA, patient-controlled epidural analgesia. 2 (continued) Chapter 2 Epidural analgesia and the progress of labor Fig.