International journal of obstetric anesthesia
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Int J Obstet Anesth · Apr 2006
Case ReportsOn knots in epidural catheters: a case report and a review of the literature.
A lumbar epidural catheter placed for labor analgesia proved to be difficult to remove after an uneventful delivery. With the patient in the position of catheter insertion, i.e. seated, firm and steady traction allowed removal of the catheter and revealed a knot 4 mm from its tip. Passing excessive amount of catheter into the epidural space may have contributed to this complication. Guidelines to prevent and to minimize this complication are suggested.
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Int J Obstet Anesth · Apr 2006
Obstetric regional blocks for women with multiple sclerosis: a survey of UK experience.
There has been a reluctance to use regional blocks for women with multiple sclerosis as effects on the course of the disease are unclear. We assessed the views of UK consultant obstetric anaesthetists regarding management of women with multiple sclerosis. ⋯ Most UK anaesthetists would perform regional blocks for labour and caesarean section in multiple sclerosis, although the experience of each anaesthetist is limited. Many emphasised the need for thorough pre-assessment and informed consent.
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Int J Obstet Anesth · Apr 2006
Impact of walking epidural analgesia on obstetric outcome of nulliparous women in spontaneous labour.
To explore the effects of walking epidural analgesia on obstetric and neonatal outcomes, we performed a case-control study. ⋯ Although it was associated with a prolonged first stage of labour, walking epidural analgesia appeared safe for nulliparous women and their babies.