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A small dose of local anaesthetic (e.g. bupivacaine) is then instilled. An opioid such as fentanyl may also be given if desired. The spinal needle is then withdrawn and the epidural catheter inserted in the standard manner. Alternatively, a two-level approach may be undertaken. The epidural space is first located in the standard manner.
Medical intervention Epidural administration A freshly inserted lumbar epidural catheter. The site has been prepared with tincture of iodine, and the dressing has not yet been applied. Depth markings may be seen along the shaft of the catheter. ICD-9-CM 03.90 MeSH D000767 OPS-301 code 8-910 [edit on Wikidata] Epidural administration (from Ancient Greek ἐπί, "upon" + dura mater) is a method ...
The procedure, especially when performed by untrained doctors, had a number of risks and side-effects. Its rise and fall coincided with both first-wave feminism and the anti-German sentiment that arose during World War I. In 1956, Pope Pius XII approved the use of painless childbirth. [10] The 1960s saw the rise of epidural analgesics for pain ...
Obstetric anesthesia or obstetric anesthesiology, also known as ob-gyn anesthesia or ob-gyn anesthesiology, is a sub-specialty of anesthesiology that provides peripartum (time directly preceding, during or following childbirth) [1] pain relief for labor and anesthesia (suppress consciousness) for cesarean deliveries ('C-sections').
A new study published in Obstetrics & Gynecology looked at the link between structural racism and a lower use of pain-relieving epidurals in childbirth. While the research revealed that both Black ...
Patient-controlled epidural analgesia (PCEA) is a related term describing the patient-controlled administration of analgesic medicine in the epidural space, by way of intermittent boluses or infusion pumps. This can be used by women in labour, terminally ill cancer patients or to manage post-operative pain. [5]
Caudal anaesthesia is a relatively low-risk technique [4] commonly used, either on its own or in combination with sedation or general anaesthesia. [3] [5]Caudal anesthesia may be favored for sub-umbilical region surgeries in the pediatric population, such as inguinal hernia repair, circumcision, hypospadias repair, anal atresia, or to immobilise newborns with hip dysplasia.
It is the most commonly used local anesthetic in epidural anesthesia during labor, as well as in postoperative pain management. [14] Liposomal formulations of bupivacaine (brand name EXPAREL) have not shown clinical benefit compared to plain bupivacaine when used in traditional perineural injections, [ 15 ] although some industry-funded studies ...