Comparing epidural surgical anesthesia and spinal anesthesia following epidural labor analgesia for intrapartum cesarean section: a prospective randomized controlled trial.

Comparing epidural surgical anesthesia and spinal anesthesia following epidural labor analgesia for intrapartum cesarean section: a prospective randomized controlled trial. Korean J Anesthesiol. 2017 Aug;70(4):412-419 Authors: Yoon HJ, Do SH, Yun YJ Abstract BACKGROUND: The conversion of epidural labor analgesia (ELA) to epidural surgical anesthesia (ESA) for intrapartum cesarean section (CS) often fails, resulting in intraoperative pain. Spinal anesthesia (SA) can provide a denser sensory block than ESA. The purpose of this prospective, non-blinded, parallel-arm, randomized trial was to compare the rate of pain-free surgery between ESA and SA following ELA for intrapartum CS. METHODS: Both groups received continuous epidural infusions for labor pain at a rate of 10 ml/h. In the ESA group (n = 163), ESA was performed with 17 ml of 2% lidocaine mixed with 100 µg fentanyl, 1 : 200,000 epinephrine, and 2 mEq bicarbonate. In the SA group (n = 160), SA was induced with 10 mg of 0.5% hyperbaric bupivacaine and 15 µg fentanyl. We investigated the failure rate of achieving pain-free surgery and the incidence of complications between the two groups. RESULTS: The failure rate of achieving pain-free surgery was higher in the ESA group than the SA group (15.3% vs. 2.5%, P
Source: Korean Journal of Anesthesiology - Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Related Links:

According to Merriam-Webster Dictionary, hope is: “a feeling of expectation and desire for a certain thing to happen,” “a feeling of trust,”  “want something to happen or be the case.” When used to describe the sense of desire for recovery regarding mental health, it carries with it, the belief that some positive outcome can ensue, that things can improve and that symptoms can abate. When a person succumbs to the illness, often it is because he or she has relinquished the possibility of healing. This month the suicides of designer Kate Spade and chef Anthony Bourdain had many quest...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Addiction Anxiety and Panic Depression Grief and Loss Inspiration & Hope Interview Substance Abuse overcoming adversity Resilience Source Type: blogs
Amy B. Scher’s “This Is How I Save My Life” is the true story of a fiery young woman diagnosed with late-stage, chronic Lyme disease whose journey takes her from near-death in California to a trip around the world in search of her ultimate salvation. This excerpt coincides with the book’s release in paperback from Gallery Books, an imprint CBS sister company Simon &Schuster. I am twenty-eight years old when I arrive in magnificent India. I am here with my parents, an updated vaccine record, and a visa, searching for something I cannot find at home: a cure. In a tiny hospital on the outskirts of ...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - Category: Consumer Health News Authors: Tags: Health Simon and Schuster Source Type: news
Conclusion: The significant findings among informal garment workers were muscular discomfort predominantly located on the low back and the factor of low back strength correlated with that muscular discomfort. The suggestion is there should be a supporting surveillance program for prevention of chronic low back pain by a prospective cohort study as well as maintaining the physical fitness by an exercise program for these informal garment workers. PMID: 29916644 [PubMed - in process]
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - Category: General Medicine Tags: J Med Assoc Thai Source Type: research
Occasionally, medical professionals turn out to be serial killers. There have been a few cases of nurses who have had a hobby of murdering patients here in the U.S. Offhand I can think of a single physician who not only murdered several patients but who tried to feed his colleagues poison doughnuts, among other unpleasant acts. (Sorry, I can't remember his name and I don't feel like searching for it. I wrote about it here at the time, several years back.)In the UK,Harold Shipman was a small town GP who murdered as many as 250 patients. He killed himself in prison without ever explaining why he did it. They were mostly elde...
Source: Stayin' Alive - Category: American Health Source Type: blogs
Condition:   Chronic Low Back Pain Intervention:   Sponsor:   VA Office of Research and Development Not yet recruiting
Source: - Category: Research Source Type: clinical trials
Condition:   Low Back Pain Interventions:   Other: Manual Therapy;   Other: Hypopressive exercises Sponsor:   University of Valencia Recruiting
Source: - Category: Research Source Type: clinical trials
Conditions:   Pain, Postoperative;   Opioid Use;   Analgesia Intervention:   Procedure: Open abdominal prostatectomy Sponsor:   Universitätsklinikum Hamburg-Eppendorf Enrolling by invitation
Source: - Category: Research Source Type: clinical trials
Medtronic (NYSE:MDT) said yesterday it won expanded FDA 510(k) clearance for its Kyphon HV-R bone cement designed for the fixation of pathological fractures of the sacral vertebral body. The Fridley, Minn.-based company’s Kyphon HV-R bone cement is now indicated for treating pathological fractures of the vertebral body due to osteoporosis, cancer or benign lesions using a cementoplasty procedure. The cement is also indicated for the fixation of pathological fractures of the sacral vertebral body or ala using sacral vertebroplasty or sacroplasty, the company said. “Patients who experience sacral insuff...
Source: Mass Device - Category: Medical Devices Authors: Tags: 510(k) Orthopedics Regulatory/Compliance Spinal Medtronic Source Type: news
Publication date: Available online 20 June 2018 Source:Brain, Behavior, and Immunity Author(s): Xin Zhang, Jane E. Hartung, Andrey V. Bortsov, Seungtae Kim, Sandra C. O'Buckley, Julia Kozlowski, Andrea G. Nackley Functional pain syndromes, such as fibromyalgia and temporomandibular disorder, are associated with enhanced catecholamine tone and decreased levels of catechol-O-methyltransferase (COMT; an enzyme that metabolizes catecholamines). Consistent with clinical syndromes, our lab has shown that sustained 14-day delivery of the COMT inhibitor OR486 in rodents results in pain at multiple body sites and pain-related voli...
Source: Brain, Behavior, and Immunity - Category: Neurology Source Type: research
Medtronic seems to be on a roll when it comes to innovation. The Dublin-based company has received the greenlight from FDA for an expanded indication of the Kyphon HV-R Bone Cement. Under the new indication, Medtronic can market Kyphon for the fixation of pathological fractures of the sacral vertebral body using sacral vertebroplasty or sacroplasty. Sacral insufficiency fractures (SIFs) are a common cause of debilitating back pain. SIFs mimic the symptoms of lumbar spine pathology. Studies show more than two-thirds of patients diagnosed with SIFs aren't able to associate their pain with a traumatic event. As a result, phys...
Source: MDDI - Category: Medical Devices Authors: Tags: Orthopedics Source Type: news
More News: Anesthesia | Anesthesiology | Back Pain | Cesarean Section | Fentanyl | Induction of Labor | Lidoderm | Pain | Statistics