International journal of obstetric anesthesia
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Int J Obstet Anesth · Jan 2008
Randomized Controlled TrialA double-blind randomised controlled trial of paracetamol, diclofenac or the combination for pain relief after caesarean section.
Few studies have investigated efficacy and side effects of the combination of diclofenac and paracetamol used for pain relief after major surgery. ⋯ Patients given a combination of diclofenac and paracetamol used 38% less morphine compared to patients given paracetamol.
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Int J Obstet Anesth · Jan 2008
Randomized Controlled Trial Comparative StudyThe effect of anesthetic method for prophylactic cervical cerclage on plasma oxytocin: a randomized trial.
This study compared the changes in plasma oxytocin, intraoperative hemodynamics and postoperative uterine activity in patients who underwent elective Shirodkar cerclage for cervical incompetence with general or spinal anesthesia. ⋯ Anesthetic method used for elective Shirodkar procedure did not affect the perioperative changes in plasma oxytocin nor postoperative uterine activity.
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Int J Obstet Anesth · Jan 2008
Letter Randomized Controlled Trial Comparative StudyStrategies to induce labor analgesia with epidural hydromorphone.
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Int J Obstet Anesth · Jul 2007
Randomized Controlled Trial Comparative StudyA randomised comparison of a hand-held Neurotip and the Neuropen for assessing loss of touch sensation during spinal anaesthesia for caesarean section.
With spinal anaesthesia various methods may be used to assess the block to touch. We wished to compare the levels of block assessed using a non-standardised, assessor-dependent touch stimulus with those assessed when the same stimulus was applied in a standardised manner independent of the assessor. ⋯ When comparing two very similar touch stimuli, one standardised and user-independent and one non-standardised, we observed occasional wide but short lived differences in the assessed levels of block to touch. Although these differences did not affect clinical management, whether more dissimilar touch testing methods might affect clinical management remains to be seen.
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Int J Obstet Anesth · Jul 2007
Randomized Controlled TrialEfficacy of patient-controlled epidural analgesia after initiation with epidural or combined spinal-epidural analgesia.
The aim of the present study was to compare the efficacy of patient-controlled epidural analgesia after initiation with either epidural or combined spinal-epidural analgesia. ⋯ Both regional analgesia techniques followed by demand-only PCEA provided efficient pain relief for labor without changing the duration of labor or rate of cesarean section.