International journal of obstetric anesthesia
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Int J Obstet Anesth · Oct 1999
Benign intracranial hypertension and anaesthesia for caesarean section.
Benign intracranial hypertension (idiopathic hypertension, pseudomotor cerebrii) describes the syndrome of elevated intracranial pressure without clinical, laboratory or radiological evidence of a focal lesion. Unlike conditions where intracranial pressure is raised due to a space-occupying lesion, dural puncture is not contraindicated. In this report we describe the delivery by caesarean section of a parturient with this rare condition using the needle through needle combined spinal-epidural technique.
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Int J Obstet Anesth · Oct 1999
Randomized Controlled Trial Clinical TrialComparison of intermittent epidural bolus, continuous epidural infusion and patient controlled-epidural analgesia during labor.
The aim of the study was to compare efficacy and side-effects produced by three techniques of epidural analgesia during labor: intermittent bolus (1B), continuous epidural infusion (CEI) and patient-controlled epidural analgesia (PCEA). One hundred and fifty parturients allocated randomly to three groups received the same epidural solution of bupivacaine 0.125% with sufentanil 0.5 microg/mL. In the first group (IB: n=50) boluses were administered by the anesthesiologist and titrated to achieve adequate analgesia. ⋯ The other side-effects were equally distributed in the three groups. We concluded that PCEA with bupivacaine and sufentanil is a valuable technique and a good alternative to the IB method. Compared to the CEI technique, PCEA allows a decrease in local anesthetic consumption without impairing the quality of anesthesia.