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https://www.healthguideinfo.com/pregnancy/p100814/
Intrathecal analgesia is a valuable procedure normally used during the first stage of labor for pain control. It is a simple, effective technique and has a low complication rate which makes it very useful for obstetricians when continuous epidural anesthesia is not obtainable.Author: Charlotte Raynor
https://www.drugs.com/cg/intrathecal-analgesia.html
What is intrathecal analgesia (IA)? IA is a type of pain control. It is also called spinal anesthesia. Pain medicine is injected around your spinal cord to control pain from surgery or labor and delivery. IA can also be used to control long-term pain from illnesses, such as cancer.
https://www.aana.com/patients/all-about-anesthesia/anesthesia-options-for-labor-and-delivery
Spinal (intrathecal)—This method is similar to an epidural, but because the drugs are administered with a needle into the spinal canal, the effects are felt much faster. You may feel numb and need assistance in moving during the delivery. Spinal anesthetics are sometimes used for delivery by Cesarean section or when the use of forceps is indicated.
https://www.neuromodulation.com/pump
Intrathecal or Intraspinal Drug Delivery (IDD) Overview. In intrathecal drug delivery, pain medications and/or medications used for spasticity are introduced directly to the spinal fluid (intrathecal space) through a drug delivery system comprised of a pump and catheter. The intrathecal space is usually accessed from the lumbar region of the lower back.
https://www.aapamn.com/assets/site_assets/files/Labor-Analgesia-info-ALL-Hospitals.pdf
Intrathecal Narcotics are most effective during the late stage of labor or for a mother who is not delivering her first child. The procedure is very similar to epidurals except a catheter is not placed for continuous infusion of pain medication.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1949078/
Duration of action is a considerable limiting factor of ITN. A 25-μg dose of fentanyl lasts 60 to 90 minutes. 17 A 10-μg dose of sufentanil lasts about 2 hours. 10 Synergy has been noted between 10 μg of intrathecal sufentanil 18 or 25 μg of fentanyl 19 and 2.5 mg of bupivacaine,...Author: R.G. Minty, Len Kelly, Alana Minty, D.C. Hammett
https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1933031
ALTHOUGH continuous spinal anesthesia (CSA) can be traced back to a 1907 publication in which Dean1 left the needle in place to titrate anesthesia, it was rarely used before the 1940s, when Lemmon2 popularized the technique with the development of indwelling 17- …Author: Kenneth Drasner, Richard Smiley
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2920708/
Jan 21, 2009 · Similarly, for intrathecal analgesia in labor there seems to be no benefit in substituting racemic bupivacaine with ropivacaine or levobupivacaine in combination with sufentanil . Therefore, in the era of combined CSE and low-dose PCEA infusions, bupivacaine undoubtedly remains the choice for initiation of analgesia intrathecally or in dilute epidural solutions, as well as for maintenance of labor analgesia.Author: Ruth Landau
https://americanpregnancy.org/labor-and-birth/epidural/
Oct 13, 2019 · Intravenous (IV) fluids will be started before active labor begins and prior to the procedure of placing the epidural. You can expect to receive 1-2 liters of IV fluids throughout labor and delivery. An anesthesiologist (specialize in administering anesthesia), an obstetrician or nurse anesthetist will administer your epidural.
https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1944235
In their randomized prospective study, 8 of 400 women receiving intrathecal sufentanil underwent emergency cesarean delivery for fetal bradycardia within 60 min of block (vs. none of the 352 women receiving intravenous meperidine). Similar studies from the same institution found no increased risk of emergency cesarean delivery associated with epidural labor analgesia.Author: Mark C. Norris, Steven T. Fogel, Carol Conway-Long
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