Epidural analgesia analgesia. Medical search. Frequent questions

Studies in other populations of patients have found that epidural anesthesia may be associated with alterations in white blood cell count parameters. (nursingcenter.com)
The use of epidural analgesia for labor has grown significantly over the past decades in the United States, and most women now request anesthesia services for the management of pain during labor. (medscape.com)
This article contains descriptions of numerous anesthetic and analgesic techniques to assist the birthing process, including intravenous analgesia, peripheral nerve blocks, neuraxial anesthesia, and general anesthesia. (medscape.com)
Neuraxial anesthesia is a term that denotes all forms of central blocks, involving the spinal, epidural, and caudal spaces. (johnshopkins.edu)
Epidural anesthesia is a versatile technique widely used in anesthetic practice. (johnshopkins.edu)
This paper will provide an overview of the pertinent anatomical, pharmacological, immunological, and technical aspects of epidural anesthesia in both adult and pediatric populations and will discuss the recent advances, the related rare but potentially devastating complications, and the current recommendations for the use of anticoagulants in the setting of neuraxial block placement. (johnshopkins.edu)
After the bolus of epidural analgesia in the low-TVR group there was a significant reduction in CO and then increased again at the end of the first stage, in the high-TVR group the CO increased insignificantly after the anesthesia bolus, while it increased significantly in the remaining part of the first stage of labor. (univpm.it)
Thus, an early performance of epidural analgesia turns out to be essential to control labor pain and to avoid a general anesthesia in such high-risk patients. (scielo.br)
Abstract Introduction Spinal anesthesia combined with sedation and general anesthesia combined with epidural are two techniques often used for patients undergoing abdominal hysterectomy. (scielo.br)
After applying the exclusion criteria, 80 patients underwent spinal anesthesia combined with sedation (Group 1) and 62 women underwent epidural anesthesia combined with general anesthesia (Group 2). (scielo.br)
The advantages of IT opioids for analgesia, especially if spinal anesthesia is already planned, include its simplicity, lack of need for catheter care or pumps, low cost, and easy supplementation with low-dose patient-controlled analgesia (PCA) opioids as needed. (medscape.com)
Following the anesthesia induction, an epidural catheter (22-24 G) was inserted by using Tuohy needle (19-20 G). Patients were randomly divided iiinto two groups. (hoajonline.com)
4 The Society for Obstetric Anesthesia and Perinatology (SOAP) 5 and the PROSPECT guidelines 6 recommend a multimodal approach to post-cesarean analgesia. (asra.com)
Epidural analgesia combined with inhalatory anesthesia may provide advantages over the conventional routes of analgesic administration (intravenous or intramuscular), including reduction of the doses of the inhalant agents required to produce anaesthesia and thus the side effects derived from higher doses 1 1. (scielo.br)
Epidural methadone in dogs undergoing pelvic limb surgical procedures resulted in greater decreases in the EtISO required to maintain anesthesia compared with the same doses administered intravenously 2 2. (scielo.br)
Epidural anesthesia with bupivacaine, bupivacaine and fentanyl, or bupivacaine and sufentanil during intravenous administration of propofol for ovariohysterectomy in dogs. (scielo.br)
Reduces blood loss: In total hip arthroplasty (THA), studies have demonstrated that both spinal and epidural anesthesia tend to have approximately a 30% reduction in intraoperative blood loss compared with general anesthesia , owing to lower arterial and venous pressures. (medscape.com)
Possible regional anesthesia techniques include epidural analgesia, spinal analgesia (sometimes referred to as the intrathecal or subarachnoid space), or a combination of epidural and spinal analgesia. (medscape.com)
Regional anesthesia is contraindicated in the presence of actual or anticipated serious maternal hemorrhage, refractory maternal hypotension, coagulopathy, untreated bacteremia, raised intracranial pressure, skin or soft tissue infection at the site of the epidural or spinal placement, and anticoagulant therapy. (medscape.com)
A labor and delivery nurse asked a question about the nurse's role during epidural anesthesia or analgesia. (medscape.com)
The Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) position statement "Role of the Registered Nurse in the Care of the Pregnant Woman Receiving Analgesia and Anesthesia by Catheter Techniques" (readily available online) addresses the nurse's role in managing epidural, intrathecal, spinal and patient-controlled epidural analgesia catheters in the labor and delivery setting. (medscape.com)

Design: This prospective quasi-experimental study examined a convenience sample of normal afebrile postpartum women in two groups for differences in immune profile and immune function based on whether they received epidural analgesia during labor and delivery. (nursingcenter.com)
One group received epidural analgesia during labor while the second group did not. (scielo.br)

This article reviews the literature about the effects of epidural analgesia on the mother and infant. (afar.info)
We compared the effects of epidural levobupivacaine and levobupivacaine plus morphine administration on postoperative analgesia in children undergoing major abdominal surgery. (hoajonline.com)
9. Marucio RL, Luna SP, Neto FJ, Minto BW, Hatschbach E. Postoperative analgesic effects of epidural administration of neostigmine alone or in combination with morphine in ovariohysterectomized dogs. (scielo.br)

A multiorifice epidural catheter (Braun Perifix, B. Braun McGaw, Irvine, California) was introduced 4 to 5 cm into the epidural space at the L2-L3 or L3-L4 interspace using a loss-of-resistance technique with the patient sitting. (silverchair.com)
the control group received an intramuscular injection of ketorolac 1 mg/kg t.i.d. and meperidine 0.5 mg/kg p.r.n., and the epidural group received PCEA (0.1% bupivacaine + fentanyl 2 microgram/ml) through an epidural catheter positioned at the surgical dermatomal level of the spinal cord. (ekja.org)
In a quality improvement audit on epidural analgesia in 300 patients after major abdominal surgery, we identified postoperative lower leg weakness and premature catheter dislodgement as the most frequent causes of premature discontinuation of postoperative epidural infusion. (uni-luebeck.de)
In a second period monitoring 177 patients, lumbar catheter insertion was abandoned in favour of exclusive thoracic placement for epidural catheters. (uni-luebeck.de)
Subcutaneous tunnelling was shown to prevent clinically significant inwards (P = 0.043) and outwards (P = 0.0005) movement of epidural catheters and is more likely to result in a functional epidural blockade at the time of catheter removal (P = 0.0084). (edu.au)
Twenty four healthy female dogs were randomly assigned to receive saline or nalbuphine at 0.3 or 0.6 mg/kg (n=8 for each group) administered via lumbosacral epidural catheter introduced cranially into the epidural canal. (scielo.br)
and 2,045 g, Apgar scores 8/9/9) under epidural analgesia with placement of a urinary catheter. (cdc.gov)
The patient's breakthrough pain may not be due to inadequate dose, but to a malfunctioning or dislodged catheter, and it is up to an anesthesiologist or certified registered nurse anesthetist to figure out why the previously ordered analgesia isn't effective. (medscape.com)

Thus the epidural analgesic technique appears not to alter immune measures of infection in postpartum women. (nursingcenter.com)
As the use of epidural analgesia may delay the initiation of anticoagulant thromboprophylaxis due to the potential risk of epidural hematoma, a synthesis of the evidence is necessary to determine whether or not alternative analgesic modalities are worse, equivalent, or better than epidural analgesia. (cochrane.org)
We concluded that, epidural levobupivacaine plus morphine combination reduced intraoperative anesthetic concentration, supplied longer postoperative analgesia and required less rescue postoperative analgesic than sole levobupivacine, but it caused higher sedation. (hoajonline.com)
To measure the change in the minimum alveolar concentration of isoflurane (EtISO) associated with epidural nalbuphine and the postoperative analgesic requirements in dogs after ovariohysterectomy. (scielo.br)
Immediately after tracheal extubation, analgesia, sedation, heart rate, respiratory rate, and arterial blood pressure were measured at predetermined intervals and every 60 min thereafter until the first rescue analgesic. (scielo.br)
In the postoperative period, VAS and Colorado analgesic scores were lower for the dogs that received the higher nalbuphine dose, which only required supplemental analgesia 10 h following its administration, compared with dogs that received the lower dose. (scielo.br)
Determination of the analgesic dose-response relationship for epidural fentanyl and sufentanil with bupivacaine 0.125% in laboring patients. (scielo.br)
Background:The aim of this prospective, double blind, randomised trial was to compare the analgesic and adverse effectsof three concentrations of the thoracic epidural sufentanil with bupivacaine in patients undergoing thoracotomy.Methods:We studied 60 (randomised) patients who were to receive a 10 ml bolus dose of sufentanil, 1µg/ml, 2 µg/ml and3 µg/ml, in bupivacaine 0.125%, via thoracic epidural. (bvsalud.org)

Combined spinal-epidural (CSE) analgesia performed with intrathecal opioids (with or without local anesthetic) causes minimal motor block and has been referred to as the "walking epidural. (silverchair.com)
Palmer CM, Cork RC, Hays R, Van Maren G, Alves D. The dose-response relation of intrathecal fentanyl for labor analgesia. (scielo.br)
Intrathecal (IT) narcotics can offer effective postoperative analgesia. (medscape.com)

For IT morphine, the onset of analgesia is 30-60 minutes, and the duration of analgesia is 18-24 hours, depending on the dose. (medscape.com)
Epidural block was performed with levobupivacaine (0.125%) plus morphine (30μg/kg) in group I patients, and sole levobupivacaine (0.25%) in group II patients. (hoajonline.com)
Neuraxial morphine is associated with lower pain scores, longer time to first rescue analgesia, reduced postpartum opioid consumption and less sedation following CD, compared to parenteral opioids, though the risk of pruritus and nausea may be higher. (asra.com)
Therefore a balance between analgesia and side-effects must be considered for each patient when deciding individual neuraxial morphine dosing strategies. (asra.com)
Epidural morphine reduces halothane MAC in the dog. (scielo.br)
Epidural morphine vs. intercostal bupivacaine. (scielo.br)
10. Abelson AL, Armitage-Chan E, Lindsey JC, Wetmore LA. A comparison of epidural morphine with low dose bupivacaine versus epidural morphine alone on motor and respiratory function in dogs following splenectomy. (scielo.br)
Campoy L, Martin-Flores M, Ludders JW, Erb HN, Gleed RD. Comparison of bupivacaine femoral and sciatic nerve block versus bupivacaine and morphine epidural for stifle surgery in dogs. (scielo.br)
19 demonstrated that dipyrone use prior to surgical incision reduces the consumption of morphine per hour, evaluated through the method of analgesia controlled by the patient. (bvsalud.org)

We report the management of labor and delivery in a case with severe systemic mastocytosis by epidural analgesia. (authorea.com)

The primary goal of these protocols is to steer toward opioid-sparing analgesia. (iasp-pain.org)
Conclusions TEA provides better analgesia and decreased opioid requirements compared to intravenous lidocaine during the 24-hour period in the ward after laparoscopic left-sided colon and sphincter-sparing rectal surgery, although there was no difference in the quality of recovery between IVL and TEA groups. (iasp-pain.org)
1 Provided very dilute local anesthetic-opioid solutions are used, parturients also can walk with conventional epidural analgesia, 2,3 although inadequate analgesia may be a problem with such low drug concentrations. (silverchair.com)
Evidence Central , evidence.unboundmedicine.com/evidence/view/EBMG/451590/all/Patient_controlled_intravenous_opioid_analgesia_vs__continuous_epidural_analgesia_for_pain_after_intra_abdominal_surgery. (unboundmedicine.com)
100-250 mcg) are associated with a prolonged time until first analgesia request (by 4.5 hours) with a higher risk of opioid related side-effects such as pruritus and postoperative nausea and vomiting (PONV) when compared with lower doses (50-100 mcg). (asra.com)
13 Furthermore, acetaminophen should be administered in a scheduled rather than as needed manner, with preference for sole agents rather than acetaminophen-opioid combination preparations, as these provide comparable analgesia with significant opioid sparing effects. (asra.com)
Several meta-analyses have concluded that TAPB provides postoperative opioid-sparing and improved analgesia in patients who do not receive ITM. (asra.com)

Epidural analgesia may give good pain relief after hip or knee replacement surgery, but this benefit must be weighed against the possibility of adverse effects and complications. (cochrane.org)
The current evidence is insufficient to draw conclusions on the frequency of rare complications from epidural analgesia, postoperative morbidity or mortality, functional outcomes, or length of hospital stay. (cochrane.org)
However, some complications of spinal opioids ( e.g. , respiratory depression, fetal bradycardia, pruritus) may occur more frequently than with current epidural techniques, and some investigators question the need to breach the dura. (silverchair.com)
Women with a BMI higher than 30 were identified, and variables related to the difficulty and complications of performing the technique, and to analgesia failure rate were assessed. (scielo.br)
We conclude that careful audit of specific complications can usefully guide changes in practice that improve success of epidural analgesia regimens. (uni-luebeck.de)

A Randomized Controlled Trial Comparing Intravenous Lidocaine Infusion With Thoracic Epidural for Perioperative Analgesia and Quality of Recovery After Surgery in Laparoscopic Left-Sided Colon and Sphincter-Sparing Rectal Resection Surgery. (iasp-pain.org)
Objectives The aim of this randomized controlled trial was to compare the efficacy of intravenous lidocaine infusion (IVL) with thoracic epidural analgesia (TEA) in the management of perioperative pain and recovery in the laparoscopic left-sided colon and sphincter-sparing rectal surgery. (iasp-pain.org)
An intravenous (IV) in your arm or hand is required for patients needing an epidural or spinal procedure. (nygh.on.ca)
A comparison of extradural and intravenous methadone on intraoperative isoflurane and postoperative analgesia requirements in dogs. (scielo.br)
Sufentanil analgesia following cesarean section: epidural versus intravenous administration. (scielo.br)
Torske KE, Dyson DH, Pettifer G. End tidal halothane concentration and postoperative analgesia requirements in dogs: a comparison between intravenous oxymorphone and epidural bupivacaine alone and in combination with oxymorphone. (scielo.br)

To date only three trials randomized patients to narcotic versus epidural groups, and all showed a twofold to threefold increase in cesarean section for dystocia. (afar.info)
Early versus late initiation of epidural analgesia in labor: Does it increase the risk of cesarean section? (readabstracts.com)

Aside from pain relief, there was insufficient information to draw conclusions on other benefits or harms arising from epidural analgesia. (cochrane.org)
CONCLUSIONS: Epidural analgesia is a safe and effective method of relieving pain in labor, but is associated with longer labor, more operative intervention, and increases in cost. (afar.info)

Lumbar epidural analgesia is a common modality for pain relief following these procedures. (cochrane.org)
Is lumbar epidural analgesia more efficacious than systemic analgesia or long-acting spinal analgesia for postoperative pain relief in patients after elective hip or knee replacement? (cochrane.org)
A study was included if it was a randomized or pseudo randomized controlled clinical trial (RCT) of patients undergoing hip or knee replacement, in which postoperative lumbar epidural analgesia was compared to other methods for pain relief. (cochrane.org)
This study evaluated the safety and efficacy of postoperative continuous patient controlled epidural analgesia (PCEA) in children undergoing lower extremity surgery using a bupivacaine and fentanyl via lumbar approach. (ekja.org)
Lower limb motor weakness occurred in more than halfofthe patients with lumbar epidural analgesia. (uni-luebeck.de)
Transforaminal epidural steroid injection (TFESI) is frequently used for the treatment of lumbar radiculopathy. (medicopublication.com)
A retrospective analytical study was conducted at a pain clinic among 100 adult patients more than 18 years of age who underwent 'Transforaminal epidural injection' for Lumbar radiculopathy from November 2017 to December 2020. (medicopublication.com)

A study was conducted to determine whether early initiation of epidural analgesia in nulliparous women affects the rate of cesarean sections and other obstetric outcome measures. (readabstracts.com)
To investigate associations between maternal country of birth and other migration related factors (length of residence, reason for migration, paternal origin) and epidural analgesia for labour pain in nulliparous women in Norway. (unit.no)

Additionally, to prevent outward movement, the catheters were inserted deeper into the epidural space (mean (SD) 5.2 (1.5) cm in Period Two vs 4.6 (1.3) cm in Period One). (uni-luebeck.de)
Subcutaneous tunnelling of epidural catheters for postoperative analgesia to prevent accidental dislodgement: a randomized controlled trial. (edu.au)
The use of subcutaneous tunnelling to prevent movement of epidural catheters was examined in a prospective controlled trial. (edu.au)

However, this pain relief method may delay the start of blood thinners, which prevent life-threatening blood clot formation (thrombosis) in veins, because there is also a risk of bleeding at the epidural injection site if blood thinners are used at the same time. (cochrane.org)
Group A (n=37) received 19mls of 0.5% epidural plain bupivacaine with 1 ml of water for injection, while group B received 19mls of 0.5% epidural plain bupivacaine with 1ml (50mg) of preservative freetramadol. (bvsalud.org)

The duration of analgesia was from the time of epidural block to the time of rescue analgesia. (bvsalud.org)

Cite as: VanderWielen B, Ituk U, Landau R, Sultan P, Habib A. Post-cesarean delivery analgesia and the role of peripheral nerve blocks: a review. (asra.com)

For pain relief with movement after surgery, patients receiving epidural analgesia reported lower pain scores than patients receiving systemic analgesia in all four studies examining these outcomes. (cochrane.org)
Doses of ≤50 mg bupivacaine equivalents (20 ml 0.25% bupivacaine on each side, for example) are recommended on each side to balance analgesia efficacy with risk of local anesthetic systemic toxicity (LAST). (asra.com)
Only opioids could be used for labor analgesia in these situations, as they do not decrease systemic vascular resistance. (medscape.com)

Regional analgesia techniques for labor that permit ambulation are popular among parturients. (silverchair.com)
Various regional analgesia techniques exist that can be used to promote postoperative pain relief. (medscape.com)
Of these, neuroaxial or regional analgesia has become the most popular method. (medscape.com)
Approximately 60% of laboring women (2.4 million each year) choose regional analgesia for pain relief during labor. (medscape.com)
In obstetric patients, regional analgesia refers to partial or complete loss of pain sensation below the T8 to T10 spinal level. (medscape.com)
Besides providing analgesia in labor, regional analgesia may facilitate atraumatic vaginal delivery of twins, preterm neonates, and neonates with breech presentation. (medscape.com)
Regional analgesia is also contraindicated in cases of patient refusal or inadequate practitioner training and experience. (medscape.com)
Other maternal conditions such as aortic stenosis, pulmonary hypertension, or right-to-left shunts are also relative contraindications to the use of regional analgesia. (medscape.com)

Our study is aimed at analyzing obese obstetric patients who received neuraxial analgesia for labor at a tertiary hospital and assessing aspects related to the technique and its success. (scielo.br)

METHODS: We performed a computer-assisted MEDLINE search for articles and a review of bibliographies from articles on epidural analgesia. (afar.info)
Laboring patients must be educated about the different available methods of labor analgesia. (medscape.com)
Many pharmacological and nonpharmacological methods of labor analgesia have been adopted over the years. (medscape.com)
The aim of this study was to assess level of awareness, acceptability, previous utilization and willingness to utilize epidural analgesia in labour following health education.Subjects/Methods: This cross-sectional study was carried out in the antenatal clinic of UTH, Osogbo. (bvsalud.org)
Health education on events of labour and methods of analgesia available was provided to all antenatal clinic attendees between September 2021and March 2022, following which a semi-structured purpose designed, and self- administered questionnaire was administered to 415 of these women who consented to participate in this study. (bvsalud.org)

Regarding this issue, a study published Online First in Anesthesiology , the official peer-reviewed journal of the American Society of Anesthesiologists (ASA), finds "stomach emptying" is substantially slower during labor - but somewhat faster in women who receive an epidural for pain control. (asahq.org)
Anesthesiology has a nice article which attempt to quantify some of the less common risks of having an epidural during labor: epidural hematoma, infection, and neurologic injury. (wakingupcosts.net)

Effects of Postoperative Patient Controlled Epidural Analgesia in Pediatric Patients Undergoing Lower Extremity Surgery. (ekja.org)
Epidural analgesia can be performed around major surgeries such as abdominal, lower extremity or spinal surgeries for postoperative pain control. (webmd.com)

CEACCP: What is the role of epidural analgesia in abdominal surgery? (healthcarelink.com.au)

An epidural infusion of local anaesthetic or local anaesthetic-narcotic mixture may be better than epidural narcotic alone. (cochrane.org)

It has 2-dimensional that not the buy Epidural analgesia in acute pain of review could be adopted or already mixed because it were closed conceived by the Center earlier in the Internet, but the trend that the g was also meet it on all events throughout the thought of communications here is. (roadhaus.com)
Slobin( 1996, 1997, 2000) was the buy Epidural analgesia in acute pain management to think the physical articles in the use of unwanted realizations between implications and rules, where the seconds could be often more foremost, Looking beyond the sovereignty itself. (roadhaus.com)
This study was designed to compare the therapeutic and pain relief effects of continuous epidural analgesia (CEA) on the chronic phase as well as the acute phase of HZ with standard medical treatment. (korea.ac.kr)
Patients who received a combination of standard treatment plus CEA (Groups B and D) had significantly higher response to treatment (P=.001) than patients receiving standard treatment alone (Groups A and C). The adjusted odds ratio (OR) for response to treatment in the epidural group versus the medical group was 5.17 (95% confidence interval [CI]: 1.75-15.23) in the acute group and 5.37 (95% CI: 1.62-17.79) in the chronic groups. (korea.ac.kr)
The adjusted OR for complete remission in the epidural group versus the medical group was 3.05 (95% CI: 1.20-7.73) in the acute group and 4.46 (95% CI: 1.20-16.54) in the chronic group. (korea.ac.kr)

Retrospective studies and randomized controlled trials both demonstrate that epidural analgesia is associated with increases in duration of labor, instrument vaginal delivery, and cesarean birth. (afar.info)
The duration of postoperative analgesia was longer in group I patients than group II patients (p=0.002). (hoajonline.com)
It was found that initiation of epidural analgesia in early labor, following the first request for epidural did not result in increased cesarean deliveries, instrumental vaginal deliveries and other adverse effects and was associated with shorter duration of the first stage of labor and was preferred. (readabstracts.com)
21 The role of liposomal bupivacaine, which provides longer duration of analgesia, shows some promise in the CD setting. (asra.com)
Background: This study was aimed at comparing the duration and quality of epidural analgesia between plain bupivacaine alone with plain bupivacaine and tramadol in lower limb orthopaedic surgeries. (bvsalud.org)

Conclusion: Maternal hemodynamic status at the onset of labor can make a difference in fetal response to the administration of epidural analgesia. (univpm.it)
The use of epidural analgesia varied by maternal country of birth, reason for migration, paternal origin and length of residence. (unit.no)
3 Furthermore, adequate analgesia is associated with improved maternal-neonatal bonding and higher breastfeeding success. (asra.com)
Analgesia is indicated for patients with certain risk factors even in the absence of maternal request. (medscape.com)

Limiting epidural use in nulliparous labor and delaying its placement until after 5 cm of cervical dilation may reduce the risk of operative intervention for dystocia. (afar.info)

On the other hand, CO was inversely correlated with the number of decelerations detected on cCTG in the 1 hour after the epidural bolus while the short-term variation was significantly lower in the group with high-TVR. (univpm.it)
The epidural group had significantly lower pain scores and minimal side effects. (ekja.org)
We detected significantly higher VAS score during labor (p = 0.007) and 24 hours postpartum (p = 0.0001) in the group without epidural analgesia. (scielo.br)
Epidural nalbuphine significantly reduces the intra-operative isoflurane requirement and provides prolonged postoperative analgesia after ovariohysterectomy in dogs. (scielo.br)

Epidural buprenorphine hydrochloride at the dose of 0.01 mg/kg provides some degree of analgesia after fracture repair in the hind limbs of dogs. (vin.com)
A bolus of 0.125% bupivacaine containing sufentanil, without a previous test dose, proved to be optimal with respect to analgesia and early ambulation. (silverchair.com)
9 For epidural administration, a 1-3 mg dose is recommended by SOAP. (asra.com)

Researchers assessed stomach (gastric) emptying rates in four groups of women: 10 non-pregnant women, 10 pregnant women at full term (around 39 weeks) but not in labor, 10 women in labor who did not receive an epidural, and 10 women in labor who received an epidural for labor pain. (asahq.org)
Epidurals (pain medicine injected into the spinal canal) are commonly used. (cochrane.org)
Epidural analgesia may be useful for postoperative pain relief following major lower limb joint replacements. (cochrane.org)
Heart rate, respiratory rate and arterial blood pressures were measured to assess pain score and cardiopulmonary effect for eight hours after epidural administration. (vin.com)
Pain score of group receiving epidural 0.01 mg/kg buprenorphine was insignificantly less than the scores of other three groups during 120 minutes after epidural administration. (vin.com)
BACKGROUND: Intrapartum epidural analgesia has become increasingly popular because it is the most effective method of providing pain relief during labor. (afar.info)
After approval of the study by the Human Subjects Committee, written informed consent was obtained from 60 healthy parturients in active labor who requested epidural analgesia for labor, who had a visual analog pain score of 3 or greater (0- to 10-cm scale, where 0 = no pain and 10 = the worst pain imaginable), and in whom cervical dilation was between 1 and 6 cm. (silverchair.com)
Cochrane Abstracts , Evidence Central , evidence.unboundmedicine.com/evidence/view/Cochrane/436332/all/Epidural_versus_non‐epidural_or_no_analgesia_for_pain_management_in_labour. (unboundmedicine.com)
Pain medication is injected into the epidural space of the spinal cord. (webmd.com)
Conclusion The group that received epidural analgesia had lower pain scores. (scielo.br)
Pregnant women giving birth via the vaginal route and having high pain scores could reduce postnatal depression scores using epidural labor analgesia. (scielo.br)
An epidural is a very effective and safe pain relief method provided by an anaesthetist. (nygh.on.ca)
An epidural is a method of pain relief using a local anaesthetic (the same type of medication used by the dentist to freeze a tooth). (nygh.on.ca)
Epidural analgesia does not make you or your baby sleepy and can be used without slowing labour - in fact, labour may become more effective once the pain is relieved. (nygh.on.ca)
Epidural analgesia for labour pain. (unit.no)
Epidural analgesia has provided effective pain relief in labour for over three decades. (bvsalud.org)
An adjuvant therapy is the preemptive analgesia, which is a drug regimen prior to the nociceptive stimulus, aiming at preventing hyperalgesia and the subsequent pain amplification 1 . (bvsalud.org)

Epidural analgesia may also increase intervention for fetal distress. (afar.info)
Purpose: To analyze the mechanisms involved in the fetal heart rate (FHR) abnormalities after the epidural analgesia in labor. (univpm.it)

Our study examined if there is an association between epidural analgesia use and postpartum depression. (scielo.br)
Pregnant women should opt for epidural analgesia during labor to lessen postpartum depression levels. (scielo.br)

Total vascular resistances (TVR), heart rate (HR), stroke volume (SV), cardiac output (CO) and arterial blood pressure were measured before epidural administration (T0), after 5 min 5 (T1) from epidural bolus and at the end of the first stage of labor (T2). (univpm.it)

Results: No differences in immune profile or immune function were found based on administration of epidural analgesia. (nursingcenter.com)
We describe the rationale behind the administration of epidural analgesia for her colic attack. (iasp-pain.org)

A limited number of studies have been conducted on postoperative epidural analgesia in pediatric patients. (ekja.org)

Epidural analgesia and mortality after colorectal cancer surgery: A retrospective cohort study. (cancercentrum.se)

Anatomy4

Diseases17

Chemicals and Drugs31

Analytical, Diagnostic and Therapeutic Techniques and Equipment40

Psychiatry and Psychology2

Phenomena and Processes13

Named Groups1

Health Care10

Anesthesia21

Received epidural analgesia durin2

Effects of epidural3

Catheter8

Analgesic8

Intrathecal3

Morphine9

Labor and deli1

Opioid7

Complications5

Intravenous6

Cesarean section2

Conclusions2

Lumbar7

Nulliparous women2

Catheters3

Injection2

Rescue analgesia1

Peripheral nerve blocks1

Systemic3

Regional analgesia8

Neuraxial analgesia1

Methods5

Anesthesiology2

Lower extremity2

Abdominal1

Infusion1

Acute5

Duration5

Maternal4

Placement1

Significantly4

Dose3

Pain17

Fetal2

Postpartum depression2

Arterial blood pr1

Administration2

Pediatric1

Mortality1