培训课件--分娩镇痛进展.ppt

Use of epidural anesthesia and the risk of acute postpartum urinary retentionAm J Obstet Gynecol. 2007 May;196(5):472.e1-5 CONCLUSION: Epidural analgesia during labor may increase the risk of developing urinary retention by up to 3 times. However, this effect is mediated by other obstetric variables. 硬膜外分娩镇痛与产后急性尿潴留 英国静脉分娩镇痛的调查 Intravenous patient-controlled analgesia for labour: a survey of UK practice Int J Obstet Anesth. 2007 Jul;16(3):221-5. Epub 2007 Apr 24 CONCLUSION: The survey demonstrated that, when regional techniques were contraindicated, patient-controlled intravenous opioid analgesia was employed in almost half of the units responding to the questionnaire. Epidural clonidine added to a bupivacaine infusion increases analgesic duration in labor without adverse maternal or fetal effects J Anesth. 2007;21(2):142-7. Epub 2007 May 30 CONCLUSION: In early laboring patients, addition of clonidine prolongs the analgesia duration of a 0.625 mg.ml(-1) bupivacaine continuous epidural infusion following 100 microg epidural fentanyl (after a lidocaine-epinephrine test dose) without a clinically significant increase in side effects Intrapartum epidural analgesia and maternal temperature regulation. Obstet Gynecol. 2007 Mar;109(3):687-90 CONCLUSION: Epidural analgesia is not associated with increased temperature in the majority of women. Hyperthermia is an abnormal response confined to a minority subset, which occurs immediately after exposure. Our findings do not support a universal perturbation of maternal thermoregulation after epidural analgesia 硬膜外分娩镇痛与母体体温调节 A comparison of a basal infusion with automated mandatory boluses in parturient-controlled epidural analgesia during labor.Anesth Analg. 2007 Mar;104(3):673- 自动冲击剂量（Bonus）输注比背景持续剂量输注的病人自控分娩镇痛用药更少且有效是一种新的硬膜外分娩镇痛的给药模式 An isobolographic analysis of diamorphine and levobupivacaine for epidural analgesia in early labour Br J Anaesth. 2007 Apr;98(4):497-502. Epub 2007 Feb 15 CONCLUSION: The combination