O388 Influence of obstetrical analgesia on active management of third stage of labour: Comparison between epidural analgesia, intravenous patient-controlled analgesia with morphine and absence of analgesia

2009 ◽  
Vol 107 ◽  
pp. S202-S203
Author(s):  
L. Homer ◽  
A. Goarin ◽  
M. Muller ◽  
M. Cottrel ◽  
M. Collet
Keyword(s):  
Epidural Analgesia ◽  
Active Management ◽  
Patient Controlled Analgesia ◽  
Third Stage ◽  
Obstetrical Analgesia

Postoperative Anesthesia Of Elderly And Senile Patients With Total Joint Replacement Of The Lower Extremities

2020 ◽  
Vol 2 (09) ◽  
pp. 75-81
Author(s):  
Gaziev Z.T. ◽  
Avakov V.E. ◽  
Shorustamov M.T. ◽  
Bektemirova N.T.
Keyword(s):  
Epidural Analgesia ◽  
Postoperative Period ◽  
Joint Replacement ◽  
Total Joint Replacement ◽  
Lower Extremities ◽  
Multimodal Analgesia ◽  
Control Group ◽  
Patient Controlled Analgesia ◽  
Physical Status ◽  
Traumatic Injuries

Objective: To evaluate the efficacy and safety of patient-controlled analgesia through prolonged epidural analgesia after joint replacement of the lower extremities. Material and methods. We analyzed the postoperative period of 213 elderly and senile patients who were operated on for degenerative-dystrophic and traumatic injuries of the joints of the lower extremities. All patients underwent total joint replacement (164 - THA and 49 - TKA). The age of patients is from 65 to 90 years (average age was 78 ± 8 years) with a physical status of ASA 3 and above. All examined patients were divided into 2 groups. 63 patients comprised the main group, which in the postoperative period underwent patient-controlled analgesia (PCA) through prolonged epidural analgesia. The control group consisted of 150 patients, for the anesthesia of which in the postoperative period only standard systemic multimodal analgesia was used Conclusion. Patient-controlled analgesia is an alternative to traditional analgesic regimens. This method should be one of the main methods after surgical anesthesia for joint replacement of the lower limb in elderly and senile patients.

scholarly journals Pharmacological and Non-Pharmacological Methods of Labour Pain Relief—Establishment of Effectiveness and Comparison

2018 ◽  
Vol 15 (12) ◽  
pp. 2792 ◽  
Author(s):  
Iwona Czech ◽  
Piotr Fuchs ◽  
Anna Fuchs ◽  
Miłosz Lorek ◽  
Dominika Tobolska-Lorek ◽  
...  
Keyword(s):  
Pain Relief ◽  
Epidural Analgesia ◽  
Water Immersion ◽  
Labour Pain ◽  
Satisfaction Level ◽  
Pain Level ◽  
Mean Values ◽  
Significant Difference ◽  
Third Stage ◽  
Water Birth

Background: To evaluate the effectiveness of pharmacological and non-pharmacological pain relief methods and to compare them. Materials and methods: 258 women were included in the study and interviewed using a questionnaire and the visual analogue scale for pain. They were divided into six groups depending on chosen method of labour pain relief: epidural anaesthesia (EA; n = 42), water immersion and water birth (WB; n = 40), nitrous oxide gas for pain control (G; n = 40), transcutaneous electrical nerve stimulation (TENS) (n = 50), multiple management (MM; n = 42), none (N; n = 44). Results: The average age of the women was 29.4 ± 3.74 years and 60.47% of them were nulliparous (n = 156). Mean values of labour pain intensity were 6.81 ± 2.26 during the first stage of labour; 7.86 ± 2.06 during the second stage, and 3.22 ± 2.46 during the third stage. There was no significant difference in pain level between epidural analgesia and gas groups in the first stage of labour (p = 0.74). Nevertheless, epidural analgesia reduced pain level during the second and third stage (both p < 0.01). The highest satisfaction level pertains to water immersion (n = 38; 95%). Conclusion: Epidural analgesia is the gold standard of labour pain relief, however water birth was found to be associated with the highest satisfaction level of the parturient women. The contentment of childbirth depends not only on the level of experienced pain, but also on the care provided to the parturient during pregnancy and labour.

scholarly journals Active management of the third stage of labour with and without controlled cord traction: a randomised, controlled, non-inferiority trial

The Lancet ◽  
2012 ◽  
Vol 379 (9827) ◽  
pp. 1721-1727 ◽  
Author(s):  
A Metin Gülmezoglu ◽  
Pisake Lumbiganon ◽  
Sihem Landoulsi ◽  
Mariana Widmer ◽  
Hany Abdel-Aleem ◽  
...  
Keyword(s):  
Active Management ◽  
The Third ◽  
Third Stage ◽  
Controlled Cord Traction ◽  
Randomised Controlled
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