Epidural analgesia in labor: specific characteristics, dilemmas and controversies

Kutlešić, Marija; Kutlesic, Ranko

doi:10.2298/mpns1210441k

Cited by 2 publications

(2 citation statements)

References 35 publications

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“…The lumbar lordosis, exaggerated further by pregnancy, makes the placement of epidural anaesthesia more challenging. 7 Furthermore, patients with LGMD show an increased sensitivity to anaesthetic agents such as non-depolarising muscle relaxants, sedatives and analgesia. They also have an increased risk of malignant hyperthermia with succinylcholine or inhalational anaesthetics.…”

Section: Discussionmentioning

confidence: 99%

Obstetric management of a woman with limb-girdle muscular dystrophy type 2i and dilated cardiomyopathy

2018

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Limb-girdle muscular dystrophy describes a clinical phenotype with progressive weakness and atrophy of the muscles of the shoulders and hips. One of the more common types, limb-girdle muscular dystrophy type 2i, is associated with impaired cardiac function and restrictive lung disease, typically disproportionate to muscular disease. This condition presents a number of complex challenges in pregnancy and there are few case reports of its successful management. Here we discuss the course of the first pregnancy of a 20-year-old woman with limb-girdle muscular dystrophy type 2i.

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Section: Discussionmentioning

confidence: 99%

Obstetric management of a woman with limb-girdle muscular dystrophy type 2i and dilated cardiomyopathy

2018

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“…Epidural analgesia is the most effective and innocuous technique for obstetrics [1] and has become the mainstay and the most popular method for providing pain relief during labor [2,3]. Low doses of long-acting local anesthetic in combination with low doses of fentanyl or sufentanil provide good quality analgesia and are safe for the mother and the fetus [1].…”

Section: Introductionmentioning

confidence: 99%

Severe Uterine Hypertonus during Cesarean Section Relieved by Large Doses of Nitroglycerin

Foz¹

2015

SOJAPM

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A 36 years old female Gravida 3 Para 1 Aborta 1 presented at 35 +2 weeks of gestation with increased frequency and intensity of her uterine contractions. An epidural catheter was inserted at L3-L4 interspace for labor analgesia. A decision was made for Cesarean delivery due to the transverse presentation of the baby. The epidural catheter was loaded by a bolus of 10 ml lidocaine 2%, 5 ml bupivacaine 0.1% and 1ml of fentanyl 50 mcg/ml. Few minutes later; severe uterine hypertonus was noted impairing the delivery of the baby. Very large doses of nitroglycerin (a total dose of 1.3 mg) were needed for uterine relaxation.

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Epidural analgesia in labor: specific characteristics, dilemmas and controversies

Abstract: Although there still are some difficulties, complications and controversies, epidural analgesia provides safe and effective labor pain control.

Cited by 2 publications

References 35 publications

Obstetric management of a woman with limb-girdle muscular dystrophy type 2i and dilated cardiomyopathy

Obstetric management of a woman with limb-girdle muscular dystrophy type 2i and dilated cardiomyopathy

Severe Uterine Hypertonus during Cesarean Section Relieved by Large Doses of Nitroglycerin

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