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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 ...
Combined spinal and epidural anaesthesia in labouring women is associated with more pruritus if fentanyl (25 μg) is given intrathecally, than low-dose epidural analgesia. However, no difference has been found in the incidence of post dural puncture headache, requirement for epidural blood patch or maternal hypotension. [2]
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.
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 ...
Concentrated bupivacaine is not recommended for epidural freezing. [5] Epidural freezing may also increase the length of labor. [5] It is a local anaesthetic of the amide group. [5] Bupivacaine was discovered in 1957. [7] It is on the World Health Organization's List of Essential Medicines. [8] Bupivacaine is available as a generic medication.
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 ...
Epidural steroid injection (ESI) is a technique in which corticosteroids and a local anesthetic are injected into the epidural space around the spinal cord in an effort to improve spinal stenosis, spinal disc herniation, or both. It is of benefit with a rare rate of major side effects.
Anesthesia is a combination of the endpoints (discussed above) that are reached by drugs acting on different but overlapping sites in the central nervous system. General anesthesia (as opposed to sedation or regional anesthesia) has three main goals: lack of movement , unconsciousness, and blunting of the stress response. In the early days of ...