scholarly journals Comparison of bupivacaine and ropivacaine in combination with fentanyl used for walking epidural anesthesia in labor

2017 ◽  
Vol 14 (3) ◽  
pp. 170-175 ◽  
Author(s):  
Şükrü Gündüz ◽  
Serenat Eriş Yalçın ◽  
Gökhan Karakoç ◽  
Mehmet Özgür Akkurt ◽  
Yakup Yalçın ◽  
...  
Keyword(s):  
Epidural Anesthesia ◽  
Walking Epidural

Second stage of labor in the age of epidural anesthesia

1998 ◽  
Vol 5 (1) ◽  
pp. 171A-171A
Author(s):  
E XENAKIS ◽  
J PIPER ◽  
M MCFARLAND ◽  
C SUITER ◽  
O LANGER
Keyword(s):  
Epidural Anesthesia ◽  
Second Stage Of Labor ◽  
Second Stage

The Hemodynamic and Fibrinolytic Response to Low Dose Epinephrine and Phenylephrine Infusions During Total Hip Replacement Under Epidural Anesthesia

1992 ◽  
Vol 68 (04) ◽  
pp. 436-441 ◽  
Author(s):  
Nigel E Sharrock ◽  
George Go ◽  
Robert Mineo ◽  
Peter C Harpel
Keyword(s):  
Heart Rate ◽  
Deep Vein Thrombosis ◽  
Cardiac Index ◽  
Total Hip Replacement ◽  
Epidural Anesthesia ◽  
Hip Replacement ◽  
Low Dose ◽  
Total Hip ◽  
Vein Thrombosis ◽  
Deep Vein

SummaryLower rates of deep vein thrombosis have been noted following total hip replacement under epidural anesthesia in patients receiving exogenous epinephrine throughout surgery. To determine whether this is due to enhanced fibrinolysis or to circulatory effects of epinephrine, 30 patients scheduled for primary total hip replacement under epidural anesthesia were randomly assigned to receive intravenous infusions of either low dose epinephrine or phenylephrine intraoperatively. All patients received lumbar epidural anesthesia with induced hypotension and were monitored with radial artery and pulmonary artery catheters.Patients receiving low dose epinephrine infusion had maintenance of heart rate and cardiac index whereas both heart rate and cardiac index declined significantly throughout surgery in patients receiving phenylephrine (p = 0.0001 and p = 0.0001, respectively). Tissue plasminogen activator (t-PA) activity increased significantly during surgery (p <0.0005) and declined below baseline postoperatively (p <0.005) in both groups. Low dose epinephrine was not associated with any additional augmentation of fibrinolytic activity perioperatively. There were no significant differences in changes in D-Dimer, t-PA antigen, α2-plasmin inhibitor-plasmin complexes or thrombin-antithrombin III complexes perioperatively between groups receiving low dose epinephrine or phenylephrine. The reduction in deep vein thrombosis rate with low dose epinephrine is more likely mediated by a circulatory mechanism than by augmentation of fibrinolysis.

Epidural Anesthesia Improves Outcome and Resource Use in Cardiac Surgery: A Single-Center Study of a 1293-Patient Cohort

2007 ◽  
Vol 10 (6) ◽  
pp. E449-E458 ◽  
Author(s):  
David Bracco ◽  
Nicolas Noiseux ◽  
Marc-Jacques Dubois ◽  
Ignacio Prieto ◽  
Fadi Basile ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Epidural Anesthesia ◽  
Resource Use ◽  
Single Center ◽  
Patient Cohort ◽  
Single Center Study ◽  
Center Study

Epidural Anesthesia in a Patient with High Cardiac Risk

2014 ◽  
Vol 3 (X-X) ◽  
Author(s):  
Tuğba Doğu ◽  
Hasan Sahin ◽  
Tolga Kurt ◽  
Hasan Ali Kiraz ◽  
Uğur Altınışık ◽  
...  
Keyword(s):  
Epidural Anesthesia ◽  
Cardiac Risk
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