Articles: analgesia.
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Regional anesthesia · Mar 1995
Randomized Controlled Trial Clinical TrialEpidural clonidine combined with bupivacaine for analgesia in labor. Effects on mother and neonate.
A double-blind study was conducted to assess the efficacy and the safety of epidural clonidine combined with bupivacaine for analgesia during labor. ⋯ The study documents that clonidine improves epidural bupivacaine analgesia during labor and demonstrates transfer of the drug across the placenta. Therefore, a more extensive study is required to determine the incidence of possible side effects of clonidine in neonates.
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Regional anesthesia · Mar 1995
Comparative Study Clinical TrialPostoperative myocardial ischemia: epidural versus intravenous patient-controlled analgesia. A pilot project.
Continuous postoperative epidural analgesia with bupivacaine (BUP) and morphine (MS) may be associated with a decreased incidence of postoperative myocardial ischemia (ISCH) and infarction (MI). This study evaluated the incidence of ISCH and MI in patients with two or more risk factors for coronary artery disease (CAD) who were admitted to the ICU after upper abdominal surgery for cancer. ⋯ These preliminary results suggest that epidural anesthesia and analgesia may decrease the incidence of postoperative tachycardia, ischemia, and possibly infarction in patients undergoing upper abdominal procedures.
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Regional anesthesia · Mar 1995
Case ReportsUnintentional subdural block during labor epidural in a parturient with prior Harrington rod insertion for scoliosis. Case report.
The authors report a case of unintentional subdural block in a parturient with prior Harrington rod insertion. ⋯ Lumbar epidural anesthesia is not always an easily performed technique and is known to be associated with a higher incidence of complications in patients with prior Harrington rod insertion. Prompt recognition and proper management of subdurally placed needle and catheter avoided more serious complications.
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J Obstet Gynecol Neonatal Nurs · Feb 1995
Comparative StudyPatients' versus nurses' assessments of pain and sedation after cesarean section.
To compare nurses' and patients' assessments of pain and sedation in patients receiving epidural or intravenous patient-controlled analgesia (PCA) after cesarean section. ⋯ The results suggest that nurses' and patients' assessments of pain and sedation differ. The routine use of a standardized self-assessment tool, such as the visual analogue scale, is recommended to ensure that analgesic treatment is based on the subjective nature of the patient's pain experience rather than the nurse's judgment.