Evidence-Based Obstetric Anesthesia (Evidence-Based by M. Joanne Douglas, Stephen H. Halpern

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.

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