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https://www.nejm.org/doi/full/10.1056/NEJMct0909254
A 30-year-old pregnant woman is undergoing induction of labor and is experiencing severe pain despite intravenous opioid administration. Epidural analgesia is recommended. Epidural analgesia involv...Author: Joy L. Hawkins
https://www.nejm.org/doi/full/10.1056/NEJMra021276
Review Article from The New England Journal of Medicine — Regional Anesthesia and Analgesia for Labor and Delivery. ... Roughly 60 percent of women in the United States choose epidural or ...Author: Holger K. Eltzschig, Ellice S. Lieberman, William R. Camann
https://www.uv.es/jjsanton/Parto/10epiduralparto.pdf
Epidural analgesia for labor and delivery in-volves the injection of a local anesthetic agent (e.g., lidocaine or bupivacaine) and an opioid analgesic agent (e.g., morphine or fentanyl) into the lumbar epidural space (Fig. 2). 8 The injected agent gradu - ally diffuses across the dura into the subarachnoid
https://www.mcgill.ca/anesthesia/files/anesthesia/wk_3a_nejm-review_0.pdf
between the use of epidural analgesia and cesarean delivery have shown variable results. A recent meta-analysis represents the experience of nearly 2400 pa-tients randomly assigned to receive either epidural analgesia or parenteral opioid analgesia. 17 Epidural analgesia was associated with a prolongation of theFile Size: 711KB
https://www.youtube.com/watch?v=joIPa-f2A2w
Feb 25, 2018 · Placement of a catheter in the lumbar epidural space allows for the administration of analgesic and local anesthetic agents to a series of dorsal- and ventral-nerve roots that exit the spinal cord ...Author: trainaesthesia
https://www.openanesthesia.org/labor_pain_and_analgesia/
Labor Pain and Analgesia. Anatomy of Labor Pain ... there was concern that premature placement of an epidural would prolong labor or increase the rate of Cesarean section. ... as was the time to vaginal delivery (398 minutes vs. 479 minutes, P<0.001). Pain scores after the first intervention were significantly lower after intrathecal analgesia ...
https://www.youtube.com/watch?v=rM1aQC-HAX0
May 28, 2013 · Epidural Spinal Anesthesia - Animation by Dr. Cal Shipley, M.D. ... To reduce pain during labor, a nerve block of the lumbar and sacral nerve roots coming off the spinal cord is necessary ...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3299112/
Epidural analgesia is claimed to result in prolonged labor. Previous studies have assessed epidural analgesia vs systemic opioids rather than to parturients receiving no analgesia. This study aimed to evaluate the effect of epidural analgesia on labor duration compared with parturients devoid of analgesia.
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