• Epidurals are recommended for perioperative COVID-19 people over general anesthesia-EBPs have an extremely low risk of transferring an infection to the central nervous system even with an ongoing infection but are a last resort after conservative treatments and nerve blocks. (wikipedia.org)
  • Regional anesthesia can reduce operative anesthetic requirements and in some cases allow avoidance of general anesthesia altogether. (medscape.com)
  • This can be beneficial to a variety of patient populations, including those at risk for cognitive dysfunction after general anesthesia. (medscape.com)
  • IT opioids can be administered as an adjunct to general anesthesia (e.g., for scoliosis surgery) or combined with local anesthetics and administered during spinal anesthesia (e.g., for total hip arthroplasty). (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)
  • We aimed to assess the maternal and neonatal outcomes when the LMA Supreme was used for cesarean section under general anesthesia. (frontiersin.org)
  • We included all patients who underwent general anesthesia for cesarean section between January 2010 and December 2019. (frontiersin.org)
  • The LMA Supreme was not associated with higher adverse maternal and neonatal outcomes when compared to an endotracheal tube for cesarean section under general anesthesia. (frontiersin.org)
  • Although previous studies have reported the successful use of the LMA in cesarean section, the role of LMA in obstetric general anesthesia is, to date, still highly debatable ( 12 - 17 ). (frontiersin.org)
  • Following ethical approval by the Ethics Committee of Peking University First Hospital (No. 2021-226, date of approval: 23 June 2021, Chairman: Professor Yanyan Yu), a retrospective cohort study was carried out on patients who received general anesthesia for cesarean section over a period of 10 years (January 2010 to December 2019). (frontiersin.org)
  • Under general anesthesia, with IONM (TC-MEP) the deformity was corrected. (aofoundation.org)
  • 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)
  • Occasionally an epidural analgesia is preferred and rarely a general anesthesia is required. (luriechildrens.org)
  • Animals generally lack self-restraint, and most will require heavy sedation or general anesthesia prior to administration of locoregional anesthesia. (asra.com)
  • Following femoral and sciatic blockade, surgical procedures of the knee and distal pelvic limb have been reported under sedation rather than general anesthesia in dogs. (asra.com)
  • 2. Outcomes after Radical Prostatectomy for Cancer: A Comparison Between General Anesthesia and Epidural Anesthesia with Fentanyl Analgesia: A Matched Cohort Study. (nuh.com.sg)
  • Epidural analgesia is used widely combined with general anesthesia. (dergisi.org)
  • 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)
  • Avoids common adverse effects of general anesthesia: Such adverse effects include nausea, sore throat, alteration of mental status, and cognitive dysfunction. (medscape.com)
  • An epidural blood patch (EBP) is a surgical procedure that uses autologous blood in order to close one or many holes in the dura mater of the spinal cord, usually as a result of a previous lumbar puncture or epidural. (wikipedia.org)
  • An epidural is injected into the epidural space, inside the bony spinal canal but just outside the dura. (wikipedia.org)
  • Hence, lumbar epidural injections carry a low risk of injuring the spinal cord. (wikipedia.org)
  • Intrathecal (IT), often referred to as "spinal," anesthesia refers to the delivery of anesthetic agents to the subarachnoid layer of the spinal column into cerebrospinal fluid (CSF) surrounding the spinal cord. (medscape.com)
  • 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)
  • The image below depicts pencil point spinal needles used in spinal anesthesia. (medscape.com)
  • Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia. (ahrq.gov)
  • The anesthesia care provider, who was 32 hours into a 48-hour call shift and had only had 3 hours of sleep in the prior 32 hours, performed L3-4 combined spinal epidural analgesia for labor and delivery. (ahrq.gov)
  • Prospective randomized double-blinded study in patients who underwent a TKA for knee osteoarthritis under spinal anesthesia and treated with femoral and sciatic nerve blocks. (springer.com)
  • Anesthesiologists are familiar with performing EBPs for the treatment of dural puncture-associated intracranial hypotension following spinal anesthesia, complicated epidural analgesia, and diagnostic lumbar puncture. (duke.edu)
  • Maternal hypotension is a frequent complication following spinal anesthesia or epidural analgesia during birth. (sigvaris.com)
  • Research in newborn animals has revealed that failure to provide analgesia for pain results in "rewiring" of the nerve path-ways responsible for pain transmission in the dorsal horn of the spinal cord, resulting in increased pain perception of future painful insults. (nysora.com)
  • Fentanyl is sometimes given intrathecally as part of spinal anesthesia or epidurally for epidural anaesthesia and alprazolam in dogs analgesia. (awlshelter.org)
  • 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)
  • The recovery of spinal anesthesia is assessed through a scale defined in 1979 by Bromage and is based exclusively on the return of motor function and does not take into account the recovery of ANS activity. (bvsalud.org)
  • The sample consisted of 60 ASA patients I to III, submitted to orthopedic surgery of lower limbs and lower abdomen under spinal anesthesia. (bvsalud.org)
  • The researchers conducted a randomized clinical trial protocol to assess autonomic function at motor recovery in patients receiving spinal anesthesia with isobaric bupivacaine alone or clonidine-associated isobaric bupivacaine. (bvsalud.org)
  • Our Anesthesia service was consulted since we had substantial experience with high thoracic epidural analgesia (HTEA) for relief of angina ( 1 , 2 ). (ispub.com)
  • LUMBAR or thoracic epidural anesthesia (EA) could affect the respiratory system in several ways. (asahq.org)
  • In this case, it is discussed whether solely thoracic epidural technique with ropivacaine provide appropriate anesthesia or not in emergency situations for elderly patients. (dergisi.org)
  • Thoracic epidural anesthesia were performed with ropivacaine 75 mg. (dergisi.org)
  • 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 . (bvsalud.org)
  • 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)
  • David O. Warner received the Anesthesiology Young Investigator/Parker B. Francis Investigator Award from the Foundation for Anesthesia Education and Research. (asahq.org)
  • One group received epidural analgesia during labor while the second group did not. (scielo.br)
  • 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)
  • Regional anesthesia is used extensively for various purposes, including as a primary anesthetic technique for surgery, as an analgesic modality to manage pain in the perioperative period, and as an analgesic modality for various other forms of acute and/or chronic pain. (medscape.com)
  • The use of perioperative regional anesthesia has many possible advantages. (medscape.com)
  • Operations associated with increased risk of perioperative mortality and morbidity lead to consider regional anesthesia techniques for elderly patients. (dergisi.org)
  • Place of modern regional anesthesia techniques in the perioperative period. (uf.ua)
  • both anesthesia methods may also reduce perioperative hypercoagulability that occurs as a result of the surgical stress response. (medscape.com)
  • To assess cardiac autonomic modulation during perioperative hypotension caused by subarachnoid anesthesia. (bvsalud.org)
  • Obstetric anesthesia clinic childbirth course combined with labor epidural analgesia is associated with a decreased risk of postpartum depression : a prospective cohort study. (iasp-pain.org)
  • In this paper, an investigation was conducted to see if obstetric anesthesia clinic childbirth course combined with labor epidural analgesia (LEA) was associated with a decreased risk of PPD. (iasp-pain.org)
  • Previous research showed the use of supraglottic airways in obstetric anesthesia. (frontiersin.org)
  • Research on obstetric anesthesia should focus on reducing anesthesia-related morbidity and ensuring the safety of both the mother and neonate. (frontiersin.org)
  • The patient did not experience rapid onset of analgesia as expected and required a 6 ml bolus of 0.2% ropivacaine and 3 ml of 1% lidocaine over 20 minutes to achieve adequate analgesia. (ahrq.gov)
  • Analgesia was successfully maintained with patient-controlled epidural analgesia of 0.2% ropivacaine with 2 micrograms/ml fentanyl for the duration of labor and delivery, and no further complications were reported. (ahrq.gov)
  • Epidural anesthesia with ropivacaine was provided fast and effective anesthesia without sedation in the elderly patient with ileus. (dergisi.org)
  • Regional anesthesia refers to the focused delivery of anesthetic agent(s) to a given part of the body. (medscape.com)
  • The anesthetic plan was for epidural anesthesia with controlled titration of the anesthetic level, as well as confirmation of the availability of the operating room for possible emergent cesarean section. (ispub.com)
  • Also, the sympathectomy provided by an epidural anesthetic may provide moderation of hypertension if the tumor did manifest properties of a pheochromacytoma intraoperatively, although this has mixed results in patients treated with alpha blockers for known pheochromocytoma. (ispub.com)
  • 4 Neuraxial injection of opioids and/or local anesthetic via epidural catheter or single-shot epidurals are commonly performed to provide pelvic limb analgesia (Figure 1). (asra.com)
  • Published studies on morbidity and mortality associated with anesthesia in cats as well as the pharmacology of inhalant anesthetic agents will form the basis for discussing some of the challenges that cats present during the maintenance of anesthesia. (vin.com)
  • Recent literature from studies in cats as well as other species, will be used to discuss alternative techniques and strategies that may improve not only the anesthetic management but also the morbidity and mortality associated with anesthesia in cats. (vin.com)
  • They are physicians who have completed fellowship training in pediatric anesthesia, training beyond the regular course of instruction for an anesthesiologist. (childrensnational.org)
  • In veterinary medicine, regional anesthesia is used for many reasons, including improved postoperative pain control, decreased systemic opioid use, and improved quality of recovery. (asra.com)
  • This error resulted in slower onset of analgesia, significant pruritus requiring intravenous naloxone infusion, prolonged respiratory monitoring for 24 hours after intrathecal morphine injection, and potential neurological injury due to intrathecal administration of a product that was not preservative-free. (ahrq.gov)
  • 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)
  • This case provides an opportunity to discuss the implications of sleep deprivation, especially in high-risk settings such as anesthesia care and obstetric care, and approaches to improve patient safety during labor and delivery. (ahrq.gov)
  • Published-Ahead-of-Print in Anesthesia & Analgesia (the official Journal of the International Anesthesia Research Society), the randomized, controlled study compared the effectiveness of the CompuFlo ® Epidural System ("CompuFlo") in labor and delivery and chronic pain management, where loss of resistance and fluoroscopy are the current standards of care. (milestonescientific.com)
  • Shortly thereafter he became a pioneer of epidural analgesia and other forms of safe pain relief for labor and delivery. (sciencebasedmedicine.org)
  • A labor and delivery nurse asked a question about the nurse's role during epidural anesthesia or analgesia. (medscape.com)
  • 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)
  • When a procedure, such as a MRI (magnetic resonance imaging), requires sedation or anesthesia, we work closely with our colleagues in Diagnostic Imaging and Radiology to help make the patient more comfortable. (childrensnational.org)
  • Patients presenting for surgery of the pelvic limbs typically receive either an epidural or combination femoral and sciatic nerve blocks. (asra.com)
  • This confirms human newborn research that found that the failure to provide anesthesia or analgesia for newborn circumcision resulted not only in short-term physiologic perturbations but also in longer-term behavioral changes. (nysora.com)
  • Children's anesthesiologists provide anesthesia and analgesia for therapeutic and diagnostic purposes. (childrensnational.org)
  • They also provide anesthesia care for any patient with significant heart disease undergoing non-cardiac surgery (such as ear tubes and tonsillectomies) or non-surgical procedure (such as CT scan or dental examination). (childrensnational.org)
  • [ 2 , 3 ] In addition, in certain operations, such as total hip arthroplasty (THA), the use of regional anesthesia may be associated with certain positive trends such as reduced blood loss and reduced rates of deep vein thrombosis (DVT). (medscape.com)
  • This case describes a 27-year-old primigravid woman who requested neuraxial anesthesia during induction of labor. (ahrq.gov)
  • Results Of the 92 patients analyzed, 47.8% (n = 44) received epidural analgesia. (scielo.br)
  • 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)
  • Studies in other populations of patients have found that epidural anesthesia may be associated with alterations in white blood cell count parameters. (nursingcenter.com)
  • Regional anesthesia for veterinary patients was first described in the early 1900s. (asra.com)
  • Regional anesthesia in feline patients, for example, can be more challenging than regional anesthesia in canine patients. (asra.com)
  • CompuFlo was found to be ninety-nine percent successful in objectively identifying the epidural space - even in challenging patients with a higher body mass index. (milestonescientific.com)
  • Our specialists provide surgical anesthesia and post-operative pain management for all young patients undergoing surgery at Children's National. (childrensnational.org)
  • The Cultural Revolution After investigating 'acupuncture anesthesia' in the People's Republic of China in 1973, John Bonica wrote: From the guarded comments made by several anesthesiologists, I concluded that this disuse [of 'acupuncture anesthesia,' after its introduction in 1958 until the Great Proletarian Cultural Revolution began in 1966] was the result of disappointing failures in a significant proportion of patients. (sciencebasedmedicine.org)
  • MH is a rare skeletal muscle disease that causes patients to develop life-threatening hyperthermia in response to inhaled anesthesia. (nursingpapers.com)
  • Epidural Anesthesia and Analgesia in High-risk Surgical Patients. (silverchair.com)
  • The recommended dosages for the treatment of clinically important hypotension in the setting of anesthesia is an initial dose of 5 mg to 10 mg administered by intravenous bolus. (nih.gov)
  • Should nurses be able to increase or decrease the infusion rate, or administer a bolus, under the orders of the anesthesia provider. (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)
  • As a result, the patient suffered slower onset of analgesia and significant pruritis, and required more prolonged monitoring, than if she had received the correct medication. (ahrq.gov)
  • The anesthesia care provider, who was sleep deprived near the end of a 48-hour call shift (during which they only slept for 3 hours), performed the procedure successfully but injected an analgesic drug that was not appropriate for this clinical indication. (ahrq.gov)
  • Clinical Implications: Nurses can be confident that the white blood cell count and other phenotypic measures of leukocytes are not affected by epidural analgesia. (nursingcenter.com)
  • The findings of this clinical trial by five independent providers validates the CompuFlo epidural instrument as a safe, proven alternative to loss of resistance and fluoroscopy. (milestonescientific.com)
  • The procedure is most often used to relieve PDPH following an epidural injection and lumbar puncture. (wikipedia.org)
  • Ephedrine sulfate injection is an alpha- and beta-adrenergic agonist and a norepinephrine-releasing agent that is indicated for the treatment of clinically important hypotension occurring in the setting of anesthesia. (nih.gov)
  • Ephedrine sulfate injection is indicated for the treatment of clinically important hypotension occurring in the setting of anesthesia. (nih.gov)
  • Anatomically, the dural sac of cats terminates further caudally than in human or canine counterparts, often resulting in a subarachnoid injection rather than an epidural injection. (asra.com)
  • Over the same interval, 4723 lumbar epidural steroid injections were performed, with 1 intradiscal injection, for a rate of 1:4723. (northwestern.edu)
  • Intraoperatively, an epidural catheter was placed with the tip at T7 for postoperative analgesia. (aofoundation.org)
  • 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)
  • After informed consent, the patient was taken to the OR and a DuPen catheter (Bard) placed under MAC anesthesia. (ispub.com)
  • 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)
  • Milestone's proprietary DPS Dynamic Pressure Sensing technology ® is our technology platform that advances the development of next-generation devices, regulating flow rate and monitoring pressure from the tip of the needle, through platform extensions for local anesthesia for subcutaneous drug delivery, with specific applications for cosmetic botulinum toxin injections, epidural space identification in regional anesthesia procedures and intra-articular joint injections. (milestonescientific.com)
  • Use local anesthesia. (wizzvet.com)
  • This article will focus on the use of regional anesthesia as a postoperative analgesic technique for orthopedic surgery. (medscape.com)
  • Thus the epidural analgesic technique appears not to alter immune measures of infection in postpartum women. (nursingcenter.com)
  • The epidural blood patch (EBP) is one of the most effective treatments for intracranial hypotension. (duke.edu)
  • MCS (20-36mmHg) reduce the incidence of maternal hypotension following epidural analgesia during spontaneous term labor ( 5 )( 9 ). (sigvaris.com)
  • Some studies address the value of HRV as a predictor of hypotension following subarachnoid anesthesia, mainly using linear methods in the frequency domain. (bvsalud.org)
  • A comparison of extradural and intravenous methadone on intraoperative isoflurane and postoperative analgesia requirements in dogs. (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)
  • A retrospective analysis of 3 years of accrued data (2004-2007) showed that 2412 transforaminal epidural steroid injections were performed at the 2 training institutions (Loyola University Medical Center and Northwestern University/Feinberg School of Medicine). (northwestern.edu)
  • Ephedrine may decrease the efficacy of epidural blockade by hastening the regression of sensory analgesia. (nih.gov)
  • 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)
  • 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)
  • 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)
  • The use of inhalants for maintenance of anesthesia in veterinary practice is frequent and the most commonly reported complications relate to intubation and respiratory arrest. (vin.com)
  • Although epidural anesthesia (EA) can significantly disrupt the function of the respiratory system, data concerning its effects on respiratory muscle activity and the resulting motion of the chest wall are scarce. (asahq.org)
  • 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)
  • Epidural nalbuphine significantly reduces the intra-operative isoflurane requirement and provides prolonged postoperative analgesia after ovariohysterectomy in dogs. (scielo.br)
  • While castration and ovariohysterectomy were the most commonly performed procedures requiring anesthesia in cats (together 54%), dentistry accounted for 22% of cats requiring anesthesia. (vin.com)
  • Affas F, Nygårds EB, Stiller CO, Wretenberg P, Olofsson C (2011) Pain control after total knee arthroplasty: a randomized trial comparing local infiltration anesthesia and continuous femoral block. (springer.com)
  • Carli F, Clemente A, Asenjo JF, Kim DJ, Mistraletti G, Gomarasca M, Morabito A, Tanzer M (2010) Analgesia and functional outcome after total knee arthroplasty: periarticular infiltration versus continuous femoral nerve block. (springer.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)
  • 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)
  • La información más reciente sobre el nuevo Coronavirus de 2019, incluidas las clínicas de vacunación para niños de 6 meses en adelante. (stanfordchildrens.org)
  • Labor analgesia, as its name implies, is the use of various methods to reduce or even eliminate the pain during labor. (scirp.org)
  • It is understood to be important to analyze these factors using methods already validated in the domain of chaos, complexity and fractality, more compatible with the complexity of the behavior of biological systems, in the characterization of the autonomic function during the subarachnoid anesthesia. (bvsalud.org)
  • An 8 page research paper that offers a literature review is for a study, which is for a study that deals with how Kolcaba's theory of holistic comfort can provide a framework that facilitates improving patient care and service within an outpatient ambulatory surgical facility, particularly in regards to peri-anesthesia nursing. (nursingpapers.com)
  • 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)
  • The Acute Pain Medicine team provides in-patient consultation for patient-controlled analgesia (PCA), epidural anesthesia and other postoperative and acute pain-related problems that include conditions such as sickle cell disease. (childrensnational.org)
  • Analgesia for thoracotomies may be provided via thoracic epidurals or paravertebral or intercostal nerve blocks (Figure 2). (asra.com)