Continuous wound infiltration of bupivacaine at two different anatomical planes for caesarean analgesia – A randomised clinical trial

Conclusion: Postoperative cumulative morphine consumption and pain scores are comparable when bupivacaine is infused continuously through wound infiltration catheter either in the preperitoneal or subcutaneous layer following Caesarean delivery.
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research

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Purpose of review Low-dose combined spinal epidural (CSE) anesthesia is a common technique to anesthetize women for cesarean section. It is used to reduce the incidence of hypotension while providing excellent anesthetic conditions. Recent findings Low spinal doses produce effective anesthesia but of limited duration. Therefore, an epidural catheter (and thus CSE) is required to guarantee pain-free surgery. Recent work confirmed that lower spinal doses can reduce significantly hypotension. Summary Low-dose CSE is a valuable strategy to anesthetize pregnant women for cesarean section but requires attention and training.
Source: Current Opinion in Anaesthesiology - Category: Anesthesiology Tags: OBSTETRIC AND GYNECOLOGICAL ANESTHESIA: Edited by Emilia Guasch and Manuel Wenk Source Type: research
Conclusions: In vivo exposure to remifentanil exerts a beneficial effect against excitotoxicity on the developing mouse brain, which is associated with a reduction in the size of ibotenate-induced brain lesion as well as prevention of some behavioral deficits in young mice. The long-term effect of neonatal exposure to remifentanil should be investigated. Introduction The potential neurotoxicity of anesthetics in the perinatal period prompted the US Food and Drug Administration (FDA) to release a drug safety communication warning in 2016 that stated, “repeated or lengthy use of general anesthetics or sedation ...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
Conclusion: Quadratus lumborum block and intrathecal morphine are effective analgesic regimens after cesarean section. However, quadratus lumborum block provides better long lasting analgesia together with reduction of total postoperative morphine consumption. PMID: 30852882 [PubMed - as supplied by publisher]
Source: Korean Journal of Anesthesiology - Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research
Performing epidural and spinal anesthesia requires a good deal of training and being able to sense when the needle reaches the desired location. This is certainly not foolproof and some patients are harder to work with than others. One issue is that ...
Source: Medgadget - Category: Medical Devices Authors: Tags: Anesthesiology Neurology Pain Management Source Type: blogs
Authors: Ren LQ, Sun XX, Guan Y Abstract OBJECTIVE: To compare the effects of sevoflurane or propofol combined with remifentanil anesthesia on the clinical efficacy and stress response of pregnancy-induced hypertension (PIHS) in cesarean section. PATIENTS AND METHODS: 150 patients with PIHS and treated with cesarean section in our hospital from May 2015 to September 2016 were selected. All patients were randomly divided into sevoflurane-remifentanil group (n=75) and propofol-remifentanil (n=75). The elbow blood of patients in both groups were collected, the levels of Norepinephrine (NE) adrenaline (AD), cortiso...
Source: European Review for Medical and Pharmacological Sciences - Category: Drugs & Pharmacology Tags: Eur Rev Med Pharmacol Sci Source Type: research
CONCLUSION: Despite its safety, the KT technique did not prove to effectively control labor pain. PMID: 29608125 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research
Ladies and Gentlemen, this is the moment you have all been waiting for – the day that the winners of the Medgadget Medical Sci-Fi Competition are announced and their fantastic stories are published! First, we would like to thank Eko Devices, th...
Source: Medgadget - Category: Medical Devices Authors: Tags: Exclusive Source Type: blogs
(Reg Anesth Pain Med. 2016;41(6):773–775) This case report described the challenges posed by parturients with Fontan circulation, including the treatment for congenital heart disease and anticoagulation management during cesarean delivery performed under neuraxial anesthesia. Pregnancy, in general, increases the risk of venous thromboembolism and this is a common complication in patients with Fontan circulation. In this case, the 30-year-old parturient with Fontan circulation developed a neuraxial hematoma four days after her cesarean delivery performed with continuous spinal anesthesia. Morbid obesity and superfici...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Case Reports Source Type: research
Abstract BACKGROUND AND AIMS: The inhibitory pathways that play a role in spinal modulation include local interneurons and descending control. Clinical data regarding the role of these pathways in acute pain is lacking. Accordingly, the aim of this study was to evaluate cerebrospinal fluid (CSF) levels of noradrenaline, serotonin, gamma-aminobutyric acid (GABA), and glycine in parturients with labor pain compared to those without labor pain. METHODS: One hundred term uncomplicated pregnant women receiving spinal anesthesia for cesarean section were enrolled in this prospective cross-sectional study. CSF norad...
Source: Pain Research and Management - Category: Anesthesiology Authors: Tags: Pain Res Manag Source Type: research
UCLA Health When mom-to-be Malisa was just a few weeks away from delivering her first child, she felt a sudden pain in her chest while at the movies with a friend.Her doctors ruled out any problems with the pregnancy but did learn she had a rare, life-threatening heart condition called an aortic dissection, a tear in the aorta located just above the aortic valve involving the arteries that take blood to the heart and brain. The condition often leads to sudden death, but with unusual luck she was able to survive.Once diagnosed, Malisa, who lives about 80 miles from Los Angeles, was airlifted to  Ronald Reagan UCLA...
Source: UCLA Newsroom: Health Sciences - Category: Universities & Medical Training Source Type: news
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