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Remifentanil labor

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https://www.readbyqxmd.com/read/27870644/analysis-of-physiological-respiratory-variable-alarm-alerts-among-laboring-women-receiving-remifentanil
#1
Carolyn F Weiniger, Brendan Carvalho, Daniel Stocki, Sharon Einav
BACKGROUND: Remifentanil may be used by laboring women for analgesia, despite controversy because of potential apneas. We evaluated candidate variables as early warning alerts for apnea, based on prevalence, positive predictive rate, sensitivity for apnea event detection, and early warning alert time intervals (lead time) for apnea. METHODS: We performed a secondary analysis of respiratory physiological data that had been collected during a prospective IRB-approved study of laboring women receiving IV patient-controlled boluses of remifentanil 20 to 60 μg every 1 to 2 minutes...
November 18, 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27770212/erratum-to-remifentanil-for-labor-analgesia-a-comprehensive-review
#2
Yayoi Ohashi, Leyla Baghirzada, Hiroyuki Sumikura, Mrinalini Balki
No abstract text is available yet for this article.
October 21, 2016: Journal of Anesthesia
https://www.readbyqxmd.com/read/27619509/remifentanil-for-labor-analgesia-a-comprehensive-review
#3
Yayoi Ohashi, Leyla Baghirzada, Hiroyuki Sumikura, Mrinalini Balki
Japan has seen significant developments in obstetric anesthesia in recent years, including the establishment of the Japanese Society of Obstetric Anesthesia and Perinatology. However, labor pain, which is one of the most important issues in obstetric practice, is still not treated aggressively. The rate of epidural administration for labor analgesia is very low in Japan as compared to other developed countries. Remifentanil has been used for labor analgesia, as part of general anesthesia for cesarean delivery, as well as for various fetal procedures around the world...
September 12, 2016: Journal of Anesthesia
https://www.readbyqxmd.com/read/27387330/obstetric-analgesia-update-2016
#4
Michael Heesen, Markus Klimek
Neuraxial labor analgesia can be initiated via combined spinal-epidural (CSE) or stand-alone epidural. Pros and cons of these techniques are outlined in this review. In recent years computer-integrated patient-controlled epidural analgesia (CI-PCEA) and programed intermittent epidural boluses (PIEB) have been developed, adding to continuous infusion and PCEA for the maintenance of neuraxial analgesia. Postdural puncture headache (PDPH) and fever can occur secondary to labor epidural that both have clinical relevance for the care givers...
July 7, 2016: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/27343794/perioperative-management-of-a-morbidly-obese-pregnant-patient-undergoing-cesarean-section-under-general-anesthesia-case-report
#5
Márcio Luiz Benevides, Verônica Cristina Moraes Brandão, Jacqueline Ivonne Arenas Lovera
BACKGROUND AND OBJECTIVES: The increased prevalence of obesity in the general population extends to women of reproductive age. The aim of this study is to report the perioperative management of a morbidly obese pregnant woman, body mass index >50kg/m(2), who underwent cesarean section under general anesthesia. CASE REPORT: Pregnant woman in labor, 35 years of age, body mass index 59.8kg/m(2). Cesarean section was indicated due to the presumed fetal macrosomia...
July 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27319100/-general-anesthesia-using-remifentanil-for-cesarean-section-in-a-parturient-with-marfan-syndrome-associated-with-heart-failure-due-to-severe-mitral-regurgitation
#6
Masahide Fujita, Tsuyoshi Satsumae, Makoto Tanaka
A 24-year-old woman with Marfan syndrome was scheduled for cesarean section in order to avoid progression of heart failure due to severe mitral regurgitation and aortic dissection during labor. Cesarean section was performed under general anesthesia using remifentanil. Anesthesia was induced and maintained with remifentanil (0.1-0.3 μg x kg(-1) x min(-1)) and continuous administration of propofol (target-controlled infusion, 2-3 ng x ml(-1)). The trachea was intubated without a significant hemodynamic change...
May 2016: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/26834496/a-retrospective-study-on-persistent-pain-after-childbirth-in-the-netherlands
#7
Rianne C Bijl, Liv M Freeman, Philomeen Tm Weijenborg, Johanna M Middeldorp, Albert Dahan, Eveline L A van Dorp
Reported prevalence rates of persistent postpartum pain (PPP) range from less than 1% to almost 20%. The aim of this study was to examine the prevalence of PPP in a Dutch cohort and to evaluate a possible causal role for specific risk factors on the development of chronic pain after childbirth. A questionnaire was sent to 960 postpartum women approximately 2 years after delivery. Primary outcome was pain that arose from childbirth at follow-up, and secondary outcomes included quality of life (QoL) and Hospital Anxiety and Depression Scale scores...
2016: Journal of Pain Research
https://www.readbyqxmd.com/read/26777438/remifentanil-for-labor-analgesia-an-evidence-based-narrative-review
#8
REVIEW
M Van de Velde, B Carvalho
This manuscript reviews the available literature on remifentanil patient-controlled intravenous analgesia in labor focusing on efficacy and safety. Remifentanil compares favorably to other potent systemic opioids but with fewer opioid-related neonatal effects. However, remifentanil provides modest and short-lasting labor analgesia that is consistently inferior when compared to neuraxial analgesia. The initial analgesic effect provided with remifentanil also diminishes as labor progresses. In several studies, remifentanil induced significant respiratory depressant effects in laboring women with episodes of desaturation, hypoventilation and even apnea...
February 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/26543463/combination-of-dexmedetomidine-and-remifentanil-for-labor-analgesia-a-double-blinded-randomized-controlled-study
#9
Waleed Abdalla, Mona Ahmed Ammar, Ayman Ibrahim Tharwat
BACKGROUND: Satisfactory analgesia is of great importance in the labor. The clinical efficacy and side effects of remifentanil in the management of labor pain had been evaluated. Dexmedetomidine (DMET) demonstrates an antinociceptive effect in visceral pain conditions. Aims of the study were to assess whether the combination of DMET with remifentanil would produce a synergistic effect that results in lower analgesic requirements. Furthermore, whether this combination would have less maternal and neonatal adverse effects...
October 2015: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/26543445/comments-on-combination-of-dexmedetomidine-and-remifentanil-for-labor-analgesia-a-double-blinded-randomized-controlled-study
#10
José Ramón Ortiz-Gómez
No abstract text is available yet for this article.
October 2015: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/26073456/patient-satisfaction-between-remifentanil-patient-controlled-analgesia-and-epidural-analgesia-for-labor-pain
#11
COMPARATIVE STUDY
Sascha Frauenfelder, Rita van Rijn, Celine M Radder, Myrtille C de Vries, Lea M Dijksman, Marc B Godfried
INTRODUCTION: The aim of this study was to compare patient satisfaction between remifentanil patient-controlled analgesia (RPCA) and epidural analgesia (EA) for labor pain. MATERIAL AND METHODS: This prospective cohort study was carried out on primiparous women requesting analgesia for labor at a Teaching Hospital, Amsterdam, the Netherlands. Women self-selected the analgesia of choice (RPCA n = 166 and EA n = 124) and were asked to complete the Woman's Views of Birth Labour Satisfaction Questionnaire (WOMBSLQ), within 24 h (T0), 3 months (T3) and 6 months (T6) after birth...
September 2015: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/25827284/patient-controlled-intravenous-analgesia-remifentanil-for-labor-analgesia-time-to-stop-think-and-reconsider
#12
REVIEW
Marc Van de Velde
PURPOSE OF REVIEW: Remifentanil is a relatively new but commonly used opioid alternative in the management of labor pain relief. The present article evaluates efficacy and safety of patient-controlled intravenous analgesia (PCIA) with remifentanil in the management of labor pain relief. RECENT FINDINGS: Remifentanil PCIA provides analgesia that is superior to nitrous oxide or other opioids such as meperidine, but is less effective when compared with epidural analgesia...
June 2015: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/25748118/-perioperative-management-of-a-morbidly-obese-pregnant-patient-undergoing-cesarean-section-under-general-anesthesia-case-report
#13
Márcio Luiz Benevides, Verônica Cristina Moraes Brandão, Jacqueline Ivonne Arenas Lovera
BACKGROUND AND OBJECTIVES: The increased prevalence of obesity in the general population extends to women of reproductive age. The aim of this study is to report the perioperative management of a morbidly obese pregnant woman, body mass index > 50 kg/m(2), who underwent cesarean section under general anesthesia. CASE REPORT: Pregnant woman in labor, 35 years of age, body mass index 59.8 kg/m(2). Caesarean section was indicated due to the presumed fetal macrosomia...
July 2016: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/24670239/pregnancy-and-delivery-in-women-with-esophageal-varices-due-to-hepatic-vein-thrombosis
#14
Z Jabiry-Zieniewicz, F A Dabrowski, B Suchońska, R Kowalczyk, E Nowacka, B Kociszewska-Najman, B Pietrzak, P Malkowski, M Wielgos
AIM: Retrospective analysis of the course of pregnancy, labor and mode of anesthesia in women with portal hypertension and esophageal varices induced by portal vein thrombosis. MATERIAL: From 2000 to 2012 seven pregnant were admitted. None had liver transplantation (Ltx), the varicose have been in the 1st stage. Each of them has been consulted by the obstetrician, transplant surgeon and anesthetist. The patient condition during pregnancy, labor and postpartum period was analyzed...
January 2015: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/24665213/efficacy-and-safety-of-remifentanil-as-an-alternative-labor-analgesic
#15
REVIEW
Sandeep Devabhakthuni
The objective of this review was to evaluate the clinical efficacy and safety of remifentanil in the management of labor pain. Although neuraxial analgesia is the best option during labor, alternative analgesic options are needed for patients with contraindications. Using a systematic literature search, clinical outcomes of remifentanil for labor pain have been summarized. Also, comparisons of remifentanil to other options including meperidine, epidural analgesia, fentanyl, and nitrous oxide are provided. Based on the literature review, remifentanil is associated with high overall maternal satisfaction and favorable side-effect profile...
2013: Clinical Medicine Insights. Women's Health
https://www.readbyqxmd.com/read/24601110/-acute-respiratory-failures-caused-by-post-tracheotomy-tracheomalacia
#16
Ayuko Igarashi, Masayoshi Sato, Keiko Seino
A 77-year-old man underwent thoracic surgery. He had a history of two previous operations: parapharyngeal tumor removal with temporal tracheotomy 14 years ago and, two years later, a sinus surgery when, according to our anesthesia registry, intubation was extremely difficult due to stricture of the trachea underneath the tracheotomy scar. Pathology was not fully elucidated. Preoperative examinations including chest x-ray, spirogram and CT were not remarkable. The scar above the suprasternal notch was visibly sunken and retracted with respiration...
February 2014: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/24557106/a-comparison-of-remifentanil-parturient-controlled-intravenous-analgesia-with-epidural-analgesia-a-meta-analysis-of-randomized-controlled-trials
#17
COMPARATIVE STUDY
Zhi-Qiang Liu, Xiu-Bin Chen, Hai-Bing Li, Man-Tang Qiu, Tao Duan
BACKGROUND: Epidural analgesia is generally accepted as the most effective form of pain relief during labor. Remifentanil patient-controlled IV analgesia (PCIA), which is less invasive than epidural analgesia, may be an attractive alternative. In this meta-analysis, we compared the efficacy and safety of the 2 analgesic techniques for labor pain. METHODS: Databases of PubMed, EMBASE, and Cochrane Library were searched independently by 2 reviewers to retrieve eligible randomized controlled clinical trials...
March 2014: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/24557091/is-remifentanil-a-safe-and-effective-alternative-to-neuraxial-labor-analgesia-it-all-depends
#18
EDITORIAL
David J Birnbach, J Sudharma Ranasinghe
No abstract text is available yet for this article.
March 2014: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/24524033/comparison-of-remifentanil-entonox-with-entonox-alone-in-labor-analgesia
#19
Mojtaba Rahimi Varposhti, Naghmeh Ahmadi, Mehrdad Masoodifar, Zahra Shahshahan, Morteza Heydari Tabatabaie
BACKGROUND: We designed a study to evaluate the effectiveness of continuous low dose infusion of remifentanil adding to self-administration of entonox administered for pain relief during the active phase of first stage of labor. MATERIALS AND METHODS: Thirty healthy term pregnant women recruited in our randomized double-blind, cross over study. They received the study medicines during two 30-min periods with a 15-min wash-out sequence after each period. Fifteen parturient used remifentanil as a single bolus dose followed by constant low dose infusion and self-administration of entonox (group R) during the first period and entonox and saline (group P) during the second period, while the remainder of the parturient used the drugs in a reverse order...
2013: Advanced Biomedical Research
https://www.readbyqxmd.com/read/24161296/-peripartum-period-and-hemophilia-carriers
#20
A Bonnet, Y Chevalier, G Wallon, C Huissoud, F Aubrun
Women who are carriers for hemophilia are usually considered as safe carriers. However, they can present hemorragic symptoms associated with low factor VIII or IX levels. During pregancy, factor VIII increases whereas factor IX does not. The peripartum period is at risk of increased bleeding in these women. Here are presented reports of clinical data concerning two hemophilia carriers with low factor VIII or IX (30-40%) during the peripartum period. They received remifentanil and ketamine for labor pain management because of contraindication of epidural and spinal analgesia...
November 2013: Annales Françaises D'anesthèsie et de Rèanimation
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