In a recent trial, Accuro identified the appropriate epidural
injection sites along the lower spine and calculated the depth to the epidural
We agree with the evidence comparing programmed intermittent epidural
boluses (PIEB) to conventional continuous epidural
infusions (CEI) for maintaining epidural
labor analgesia presented by Munro and George, (1) showing advantages with PIEB for both the patient (with less local anesthetic consumption, improved maternal satisfaction, potentially shorter duration of labor) and the anesthesia team (with decreased workload requirements) (2).
Objective: To determine the frequency of epidural
catheter migration and its relation with duration in situ in patients receiving epidural
analgesia during labor.
M2 EQUITYBITES-July 1, 2015-Milestone Scientific announces first shipments of Epidural
Instrument in Europe
INTRODUCTION: The use of epidural
injections in the cervical, thoracic and lumbo-sacral spine for both diagnostic and therapeutic purposes has developed as an important part of a comprehensive inter disciplinary approach to spinal pain
This was because to administer an epidural
an anaesthetist had to be specially trained and had to be on call if one were needed.
Data source: Meta-analysis of data from nine randomized controlled studies of early or late epidurals
in 15,752 women.
2) Multiple pain relief treatment options are available, such as oral analgesics, intravenous opioids, patient-controlled opioid analgesia, interpleural blocks, intercostal blocks, paravertebral blocks, and epidural
book; a woman's guide to anesthesia for childbirth.
As mentioned, we have cited a relevant study which is the first to attempt to evaluate efficacy of bilateral subcostal transversus abdominis plane (TAP) catheter analgesia compared to epidural
analgesia in upper abdominal surgery.
Practitioners in critical care units routinely care for postoperative patients receiving continuous epidural
infusions for pain management.
Women should be made to pay for epidurals
during childbirth, so says the Royal College of Midwives.
But Dr Millicent Anim-Somuah, from Liverpool Women's Hospital, has led a review of 21 trials comparing epidurals
with alternative forms of pain relief or no pain relief at all, and has found that it was not without its risks.
The role of intrathecal analgesia or early epidurals
in contributing to cesarean increase has yet to be studied in a controlled trial, though when early epidurals
are studied as a separate stratum from within the Cochrane meta-analysis of epidural
vs narcotic, (3) epidural
given early (<4 cm) increase the cesarean section rate by an odds ratio of 2.
The study concludes that epidurals
are strongly associated with more OP babies at birth.