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Canadian Journal of Anesthesia/Journal canadien d anesthésie
Article . 1962 . Peer-reviewed
License: Springer TDM
Data sources: Crossref
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Continuous epidural analgesia for labour and delivery

Authors: J S, NIELSEN; W E, SPOEREL; H B, KEENLEYSIDE; P E, SLATER; P R, CLANCY;

Continuous epidural analgesia for labour and delivery

Abstract

A method of producing analgesia by means of a continuous epidural technique employing a single catheter in the upper lumbar epidural space was used in 213 obstetrical cases. In most cases the epidural anlgesia was begun at the time when the patient would have required analgesic medication. During the first stage of labour a small volume of local anaesthitic agent was used to block he sensory nerve supply of the uterus; a large volume provided adequate anaesthesia of the birth canal for delivery, usually by forceps. With this method good results were obtained in 85 per cent for analgesia in labour and in 80 per cent of those cases for delivery. The high incidence of inadequat: results was mainly due to errors in the management of the block, and comidenible improvement is possible by better coverage with trained anaesthetists, Failures and complications have been discussed. In over 80 per cent of our cases the epidural analgesic was maintained for less than 10 hours; the longest case lasted 26 hours,

Keywords

Analgesia, Epidural, Labor, Obstetric, Anesthesia, Conduction, Pregnancy, Anesthesia, Obstetrical, Humans, Female, Delivery, Obstetric

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    popularity
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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
11
Average
Top 10%
Average
bronze