Analgesia, Epidural

Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: The pain that women experience during labour is affected by multiple physiological and psychosocial factors and its intensity can vary greatly.  Most women in labour require pain relief. Pain management strategies include non-pharmacological interventions (that aim to help women cope with pain in labour) and pharmacological interventions (that aim to relieve the pain of labour). OBJECTIVES: To summarise the evidence from Cochrane systematic reviews on the efficacy and safety of non-pharmacological and pharmacological interventions to manage pain in labour.

Author(s): 
Jones, Leanne
Othman, Mohammad
Dowswell, Therese
Alfirevic, Zarko
Gates, Simon
Newburn, Mary
Jordan, Susan
Lavender, Tina
Neilson, James P.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: The pain that women experience during labour is affected by multiple physiological and psychosocial factors and its intensity can vary greatly.  Most women in labour require pain relief. Pain management strategies include non-pharmacological interventions (that aim to help women cope with pain in labour) and pharmacological interventions (that aim to relieve the pain of labour). OBJECTIVES: To summarise the evidence from Cochrane systematic reviews on the efficacy and safety of non-pharmacological and pharmacological interventions to manage pain in labour.

Author(s): 
Jones, Leanne
Othman, Mohammad
Dowswell, Therese
Alfirevic, Zarko
Gates, Simon
Newburn, Mary
Jordan, Susan
Lavender, Tina
Neilson, James P.
Publication Title: 
Anesthesia and Analgesia

The growing interest in combining local and general anesthesia has led to studies investigating possible interactions between general anesthesia and local anesthetics administered via spinal, epidural, IV, or IM routes. However, no study has evaluated the effect of local anesthetics on all three components of balanced anesthesia, i.e., hypnosis, analgesia, and muscle relaxation.

Author(s): 
Agarwal, Anil
Pandey, Ravindra
Dhiraaj, Sanjay
Singh, Prabhat K.
Raza, Mehdi
Pandey, Chandra K.
Gupta, Devendra
Choudhury, Arindam
Singh, Uttam
Publication Title: 
British Journal of Anaesthesia

BACKGROUND: This study evaluated the A-Line Autoregressive Index (AAI) response to surgical stimulation during lumbar arthrodesis, as an estimate of the anti-nociceptive component of a Bispectral Index (BIS) guided anaesthesia combined with epidural analgesia. METHODS: An epidural catheter was inserted in 23 patients allocated randomly to receive ropivacaine plus clonidine (Group R) or normal saline (Group S) epidurally.

Author(s): 
Bonhomme, V.
Llabres, V.
Dewandre, P.-Y.
Brichant, J. F.
Hans, P.
Publication Title: 
Anaesthesia and Intensive Care

In our institution we have used antenatal training in self-hypnosis for over three years as a tool to provide relaxation, anxiolysis and analgesia for women in labour. To assess the effects of hypnotherapy, we prospectively collected data related to the use of hypnosis in preparation for childbirth, and compared the birth outcomes of women experiencing antenatal hypnosis with parity and gestational age matched controls. METHODS: Prospective data about women taught self-hypnosis in preparation for childbirth were collected between August 2002 and August 2004.

Author(s): 
Cyna, A. M.
Andrew, M. I.
McAuliffe, G. L.
Publication Title: 
European Journal of Cardio-Thoracic Surgery: Official Journal of the European Association for Cardio-Thoracic Surgery

OBJECTIVE: Fast-track rehabilitation is a group of simple measures that reduces morbidity, postoperative complication and accelerates postoperative rehabilitation reducing hospital stay. It can be applied to lung cancer lobectomy. Fast-track rehabilitation cornerstones are: minimally invasive surgical techniques using video-assisted and muscle sparring incisions, normovolemia, normothermia, good oxygenation, euglicemia, no unnecessary antibiotics, epidural patient-controlled analgesia, systemic opiods-free analgesia, early ambulation and oral feeding.

Author(s): 
Das-Neves-Pereira, João-Carlos
Bagan, Patrick
Coimbra-Israel, Ana-Paula
Grimaillof-Junior, Antonio
Cesar-Lopez, Gillian
Milanez-de-Campos, José-Ribas
Riquet, Marc
Biscegli-Jatene, Fabio
Publication Title: 
Acta Anaesthesiologica Belgica

Childbirth ranks among the most intense experiences of acute pain. Neuraxial analgesia (i.e. epidural or combined spinal-epidural technique) is the most effective way to relieve that pain but it is contraindicated or impossible to perform for some parturients. We designed a survey of the current use of analgesic alternatives to epidural analgesia (EA) for labor pain, specifically the use of opioid patient-controlled intravenous analgesia (PCIA), in the French part of Belgium (Wallonia and Brussels).

Author(s): 
Lavand'homme, P.
Roelants, F.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: The pain that women experience during labour is affected by multiple physiological and psychosocial factors and its intensity can vary greatly.  Most women in labour require pain relief. Pain management strategies include non-pharmacological interventions (that aim to help women cope with pain in labour) and pharmacological interventions (that aim to relieve the pain of labour). OBJECTIVES: To summarise the evidence from Cochrane systematic reviews on the efficacy and safety of non-pharmacological and pharmacological interventions to manage pain in labour.

Author(s): 
Jones, Leanne
Othman, Mohammad
Dowswell, Therese
Alfirevic, Zarko
Gates, Simon
Newburn, Mary
Jordan, Susan
Lavender, Tina
Neilson, James P.
Publication Title: 
American Family Physician

Regional analgesia has become the most common method of pain relief used during labor in the United States. Epidural and spinal analgesia are two types of regional analgesia. With epidural analgesia, an indwelling catheter is directed into the epidural space, and the patient receives a continuous infusion or multiple injections of local anesthetic. Spinal injections are usually single injections into the intrathecal space. A combination of epidural and spinal analgesia, known as a walking epidural, also is available.

Author(s): 
Schrock, Steven D.
Harraway-Smith, Carolyn
Publication Title: 
BJOG: an international journal of obstetrics and gynaecology

OBJECTIVE: To estimate the use of epidural analgesia and experienced pain during childbirth after a short antenatal training course in self-hypnosis to ease childbirth. DESIGN: Randomised, controlled, single-blinded trial using a three-arm design. SETTING: Aarhus University Hospital Skejby in Denmark during the period July 2009 until August 2011. POPULATION: A total of 1222 healthy nulliparous women.

Author(s): 
Werner, A.
Uldbjerg, N.
Zachariae, R.
Rosen, G.
Nohr, E. A.

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