Academic literature on the topic 'Epidural Patient-Controlled Analgesia'

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Journal articles on the topic "Epidural Patient-Controlled Analgesia"

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Wu, Christopher L., Seth R. Cohen, Jeffrey M. Richman, et al. "Efficacy of Postoperative Patient-controlled and Continuous Infusion Epidural Analgesia versus Intravenous Patient-controlled Analgesia with Opioids." Anesthesiology 103, no. 5 (2005): 1079–88. http://dx.doi.org/10.1097/00000542-200511000-00023.

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The authors performed a meta-analysis and found that epidural analgesia overall provided superior postoperative analgesia compared with intravenous patient-controlled analgesia. For all types of surgery and pain assessments, all forms of epidural analgesia (both continuous epidural infusion and patient-controlled epidural analgesia) provided significantly superior postoperative analgesia compared with intravenous patient-controlled analgesia, with the exception of hydrophilic opioid-only epidural regimens. Continuous epidural infusion provided statistically significantly superior analgesia ver
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Kelleci, Yavuz, Ruslan Abdullayev, Beliz Bilgili, Ayten Saraçoğlu, and Tümay Umuroğlu. "Epidural versus intravenous analgesia for pain control in kidney donors, a retrospective cohort study. Is there a kinship relationship?" Eurasian Journal of Anesthesiology and Intensive Care 1, no. 1 (2024): 1–5. http://dx.doi.org/10.51271/eajaic-0001.

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Aims: Best care must be provided for live kidney donors, including postoperative pain control. Treatment options include iv intermittent analgesics, iv or epidural patient-controlled analgesia (PCA). In this study we aimed to compare these modalities with respect to their analgesic efficacy. Methods: A retrospective analysis of fifty-eight live donor nephrectomy patients operated in a 7-year-period in a university hospital performed. Investigational Review Board approval has been obtained. Data of the patients’ postoperative analgesia methods, degree of kinship with the recipient, postoperativ
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Ortiz, Javier, Thomas Hammerl, Maria Wasmaier, et al. "Influence of Different Methods of Intrapartum Analgesia on the Progress of Labour and on Perinatal Outcome." Geburtshilfe und Frauenheilkunde 79, no. 04 (2019): 389–95. http://dx.doi.org/10.1055/a-0774-8617.

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Abstract Background Various methods of intrapartum analgesia are available these days. Pethidine, meptazinol and epidural analgesia are among the most commonly used techniques. A relatively new one is patient-controlled intravenous analgesia with remifentanil, although the experiences published so far in Germany are limited. Our goal was to study the influence of these analgesic techniques (opioids vs. patient-controlled intravenous analgesia with remifentanil vs. epidural analgesia) on the second stage of labour and on perinatal outcome. Material and Methods We conducted a retrospective study
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Ferrante, F. Michael, Louise Lu, Stephen B. Jamison, and Sanjay Datta. "Patient-Controlled Epidural Analgesia." Anesthesia & Analgesia 73, no. 5 (1991): 547???552. http://dx.doi.org/10.1213/00000539-199111000-00006.

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Parker, Robert K., and Paul F. White. "Epidural Patient-Controlled Analgesia." Anesthesia & Analgesia 75, no. 2 (1992): 245???251. http://dx.doi.org/10.1213/00000539-199208000-00016.

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Parker, Robert K., Yuko Sawaki, and Paul F. White. "Epidural Patient-Controlled Analgesia." Anesthesia & Analgesia 75, no. 5 (1992): 740???746. http://dx.doi.org/10.1213/00000539-199211000-00015.

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FERRANTE, F. MICHAEL, LOUISE LU, STEPHEN B. JAMISON, and SANJAY DATTA. "Patient-Controlled Epidural Analgesia." Obstetrical & Gynecological Survey 47, no. 7 (1992): 480. http://dx.doi.org/10.1097/00006254-199207000-00011.

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Parker, Robert K., Barbel Holtmann, and Paul F. White. "Patient-Controlled Epidural Analgesia." Anesthesia & Analgesia 84, no. 4 (1997): 757–63. http://dx.doi.org/10.1097/00000539-199704000-00011.

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Parker, Robert K., Barbel Holtmann, and Paul F. White. "Patient-Controlled Epidural Analgesia." Anesthesia & Analgesia 84, no. 4 (1997): 757–63. http://dx.doi.org/10.1213/00000539-199704000-00011.

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Sharma, Shiv K., Elaine J. Sidawi, Susan M. Ramin, Michael J. Lucas, Kenneth J. Leveno, and Gary F. Cunningham. "Cesarean Delivery." Anesthesiology 87, no. 3 (1997): 487–94. http://dx.doi.org/10.1097/00000542-199709000-00006.

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Background Reports indicate that the administration of epidural analgesia for pain relief during labor interferes with labor and increases cesarean deliveries. However, only a few controlled trials have assessed the effect of epidural analgesia on the incidence of cesarean delivery. The authors' primary purpose in this randomized study was to evaluate the effects of epidural analgesia on the rate of cesarean deliveries by providing a suitable alternative: patient-controlled intravenous analgesia. Methods Seven hundred fifteen women of mixed parity in spontaneous labor at full term were randoml
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Dissertations / Theses on the topic "Epidural Patient-Controlled Analgesia"

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Larsen, Kim M. "COMPARISON OF EPIDURAL AND INTRAVENOUS FENTANYL PATIENT-CONTROLLED ANALGESIA AFTER CESAREAN SECTION UNDER EPIDURAL ANESTHESIA WITH CHLOROPROCAINE." VCU Scholars Compass, 1997. https://scholarscompass.vcu.edu/etd/5134.

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This study compared two methods of postcesarean fentanyl patient- controlled analgesia (PCA). Fentanyl was administered intravenously (PCAI) or epidurally (PCAE) following cesarean section under epidural chloroprocaine anesthesia. Twenty-one ASA I and II parturients were randomly assigned to receive fentanyl PCAI (n = 9) or PCA (n = 12). At surgical completion fentanyl 1.0 mcg/kg was given and the PCA initiated with a dose of 30 mcg, a lockout interval of 10 minutes, a maximum dose of 180 mcg/hr, and no basal rate. Data were collected over 24 hours including visual analog scale (VAS) pain scor
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Njo, Kui-hung Anthony, and 梁居雄. "Postoperative patient controlled epidural analgesia after total knee arthroplasty with 2ug/ml fentanyl combine with 0.2% ropivacaine or0.2% levobupivcaine: double-blindedequivalence randomized controlled trial and cost-effectivenessanalysis." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B45173631.

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Laurila, née Kostamovaara P. (Päivi). "Pain relief after joint surgery:a clinical study." Doctoral thesis, University of Oulu, 2002. http://urn.fi/urn:isbn:9514267958.

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Abstract Excessive pain after surgery causes many kinds of endocrine, metabolic and inflammatory responses, which may increase postoperative morbidity and mortality - especially among elderly patients. This study evaluated the effect of peripheral and central pain relief techniques after joint surgery. Intravenously administered doses of 100 mg, 200 mg and 300 mg of ketoprofen decreased the requirement for opioid (fentanyl) in a dose-dependent manner by 38%, 45% and 53%, respectively, compared with a placebo, without any noticeable ceiling-effect, when administered after hip and knee arthropl
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Stratmann, Alexandra [Verfasser], and M. W. [Akademischer Betreuer] Beckmann. "Die Zufriedenheit von Schwangeren mit der Patient-controlled Epidural Analgesia (PCEA) unter der Geburt am Erlanger Kollektiv in den Jahren 2005 - 2008 / Alexandra Stratmann. Betreuer: M. W. Beckmann." Erlangen : Universitätsbibliothek der Universität Erlangen-Nürnberg, 2012. http://d-nb.info/1019878479/34.

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Saraiva, Raquel Eduarda Esteves 1992. "Patient-controlled epidural analgesia na manutenção da analgesia do trabalho de parto." Master's thesis, 2016. http://hdl.handle.net/10451/29406.

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Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2016<br>A primeira utilização clínica no trabalho de parto da patient-controlled epidural analgesia (PCEA) foi descrita por Gambling et al. em 1988. Esta técnica quando comparada com a tradicional continuous epidural infusion (CEI) garante o mesmo nível de analgesia reduzindo o número de doses de resgate, o consumo total de anestésico e ainda a diminuição do bloqueio motor. Apesar da PCEA possibilitar uma maior autonomia e representar uma alternativa às técnicas mais tradicionais, não exis
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Schmidt, Holger. "Vergleichende Untersuchung zweier Verfahren der geburtshilflichen Epiduralanalgesie zur Patientenzufriedenheit unter Berücksichtigung methodenrelevanter anästhesiologischer, geburtshilflicher und organisatorischer Daten." Doctoral thesis, 2006. http://hdl.handle.net/11858/00-1735-0000-0006-AF26-A.

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Αρέθα, Διαμάντω. "Η εντατική περιεγχειρητική αναλγησία μειώνει την ένταση, την επίπτωση και τη συχνότητα του πόνου φάντασμα μετά από ακρωτηριασμό κάτω άκρου : μια προοπτική, τυχαιοποιημένη, διπλή τυφλή κλινική μελέτη". Thesis, 2011. http://nemertes.lis.upatras.gr/jspui/handle/10889/4536.

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Η παρουσία σοβαρού ισχαιμικού πόνου πριν από τον ακρωτηριασμό κάτω άκρου πολύ συχνά συνοδεύεται από την ανάπτυξη πόνου φάντασμα. Ερευνήσαμε αν η εντατική περιεγχειρητική αναλγησία μειώνει την ανάπτυξη πόνου φάντασμα 6 μήνες μετά τον ακρωτηριασμό. Μεθοδολογία: Σε συνολικά 65 ασθενείς πραγματοποιήθηκε προγραμματισμένος ακρωτηριασμός κάτω άκρου. Οι ασθενείς τυχαιοποιήθηκαν σε 5 ομάδες αναλγησίας: (1) Οι ασθενείς της ομάδας Επι/Επι/Επι έλαβαν περιεγχειρητικά επισκληρίδια αναλγησία και επισκληρίδιο αναισθησία; (2) Οι ασθενείς της ομάδας PCA/Επι/Επι έλαβαν προεγχειρητικά ενδοφλέβια αναλγησία ελεγχ
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Books on the topic "Epidural Patient-Controlled Analgesia"

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Zhao, Amy. Postoperative outcome assessments of epidural analgesia versus intravenous patient-controlled analgesia in bowel resection patients. 1998.

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Sia, Alex Tiong Heng, Ban Leong Sng, and Serene Leo. Maintenance of neuraxial labour analgesia. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0015.

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Labour pain may be treated with epidural analgesia providing effective pain relief with no maternal sedation to allow maternal participation in the labouring process. Epidural analgesia is commonly initiated using an epidural or combined spinal–epidural technique. Most epidural maintenance regimens would include a long-acting amide anaesthetic in low concentration together with a lipophilic opioid to maximize analgesia whilst reducing motor blockade. With the advent of advanced infusion delivery systems, maintenance of epidural analgesia may be individualized through the use of patient-control
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Quinlan, Jane. Post-operative pain. Edited by Paul Farquhar-Smith, Pierre Beaulieu, and Sian Jagger. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198834359.003.0060.

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The landmark paper discussed in this chapter, published in 2002 by Dolin et al., examines the incidence of moderate-to-severe pain and severe pain after major surgery with three analgesic techniques: intramuscular analgesia, patient-controlled analgesia, and epidural analgesia. Up until 1990, intramuscular morphine was the main form of post-operative pain control, with patient-controlled analgesia and epidural analgesia as relatively new techniques. The authors found that the mean incidence of moderate-to-severe pain was more common with intramuscular analgesia (67%) than with patient-controll
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Yoder, Marianne E. Mastering Clinical Skills: Epidural Analgesia, Long Term Central Venous Access Devices, Pulse Oximetry, Tracheostomy Tubes, Patient-Controlled Analgesia (Media). Lippincott Williams & Wilkins, 1999.

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Dashfield, Adrian. Acute pain. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198719410.003.0040.

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This chapter discusses the management of acute pain. It begins with an introduction which describes the benefits of acute pain management and the measurement of pain. Analgesic drugs are then described, including paracetamol, non-steroidal anti-inflammatory drugs, and opioids (including their comparative efficacy). Patient-controlled analgesia, epidural analgesia, and continuous peripheral nerve blockade are described. Transcutaneous electrical nerve stimulation and acupuncture are discussed. The management of the patient with a substance misuse disorder is discussed. The chapter concludes wit
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Dashfield, Adrian. Acute pain. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198719410.003.0040_update_001.

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This chapter discusses the management of acute pain. It begins with an introduction which describes the benefits of acute pain management and the measurement of pain. Analgesic drugs are then described, including paracetamol, non-steroidal anti-inflammatory drugs, and opioids (including their comparative efficacy). Patient-controlled analgesia, epidural analgesia, and continuous peripheral nerve blockade are described. Transcutaneous electrical nerve stimulation and acupuncture are discussed. The management of the patient with a substance misuse disorder is discussed. The chapter concludes wit
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Armstrong, Sarah L., and Gary M. Stocks. Postoperative analgesia after caesarean delivery. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0024.

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Caesarean delivery (CD) is one of the most common operations in the world and providing effective pain relief is important not only for humanitarian reasons but also to speed up recovery and reduce postoperative complications. An understanding of the anatomy and physiology of pain transmission after CD has led to a multimodal approach to analgesia. This involves combining analgesics which work by different mechanisms resulting in an additive effect whilst at the same time reducing side effects. In contemporary practice, most CDs are carried out under neuraxial anaesthesia and neuraxial techniq
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Diaz, Christina D., and Steven J. Weisman. Multimodal Approach to Acute Pain Management after Nuss Bar Placement and Other Pain Scenarios. Edited by Kirk Lalwani, Ira Todd Cohen, Ellen Y. Choi, and Vidya T. Raman. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190685157.003.0053.

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Acute pain management can involve regional blocks with local anesthetics, neuraxial blocks such as caudal blocks and epidurals, oral and intravenous opioids, and nonsteroidal anti-inflammatory drugs. Other pain management modalities include neuropathic pain medications, muscle relaxants, antidepressants, acupuncture, techniques for stress relief, and behavioral modification therapy. While there are many options for treating a patient’s pain, the best approach is to understand the symptoms, attempt to determine the cause of the pain, and understand the patient’s goals with regard to treatment.
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McKenzie, Alistair G. Historic timeline of obstetric anaesthesia. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0001.

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Foremost in the history of obstetric anaesthesia was the introduction of inhalational analgesia by James Simpson in 1847, first with ether and then chloroform. Nitrous oxide was first used in obstetrics in 1880. Neuraxial anaesthesia in obstetrics began with spinal block by Oskar Kreis in 1900, and within 25 years included pudendal, caudal, and paracervical blocks. From 1902 there was a vogue for ‘twilight sleep’, which remained in use until the 1950s. Spinal anaesthesia only became popular with the advent of procaine in 1905; favour declined in the United Kingdom from 1948 and did not return
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Swann, Meriel. Pain management. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199642663.003.0009.

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Pain management for surgical patients is a complex, but important, issue. Pain management is often inadequately achieved, and therefore it is imperative that this aspect of care is improved. Delays in pain management can result in suffering for the patient and further complications, including prolonged hospital admission. To address this, healthcare professionals need to be familiar with all aspects of pain management. This chapter provides an overview of pain physiology, assessment, and pharmacological interventions, including analgesics, epidurals, and patient-controlled analgesia.
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Book chapters on the topic "Epidural Patient-Controlled Analgesia"

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Schug, Stephan A., and Per Flisberg. "Postoperative Pain, Patient-Controlled Analgesia Devices, Epidural." In Encyclopedia of Pain. Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-28753-4_3456.

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Gambling, David R. "Top-ups versus infusions and patient-controlled epidural analgesia (PCEA)." In Regional Analgesia in Obstetrics. Springer London, 2000. http://dx.doi.org/10.1007/978-1-4471-0435-3_12.

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Voiculescu, Lucia Daiana, Olga Eydlin, and Joseph Thomas Largi. "Single-Dose Epidural Morphine or Patient-Controlled Epidural Analgesia (PCEA) for Post-Cesarean Pain Control?" In You’re Wrong, I’m Right. Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-43169-7_87.

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"Patient-Controlled Analgesia: Epidural." In Regional Anesthesia and Pain Management. Elsevier, 2009. http://dx.doi.org/10.1016/b978-1-4160-3344-8.50035-4.

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"Patient-Controlled Epidural Analgesia." In Encyclopedia of Pain. Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-28753-4_201645.

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Uzodinma, Ifomachukwu, and Piotr Al-Jindi. "Labor Analgesia." In Advanced Anesthesia Review, edited by Alaa Abd-Elsayed. Oxford University PressNew York, 2023. http://dx.doi.org/10.1093/med/9780197584521.003.0289.

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Abstract The treatment of labor pain consists of multiple therapies to reduce maternal discomfort while maintaining fetal well-being. Visceral, somatic, and sympathetic contributions lead to the pain experienced by the parturient during labor. Neuraxial modalities provide superior analgesia for the laboring patient. Spinals provide rapid analgesia, epidurals provide maintenance of labor analgesia, while the combined spinal-epidurals offer the benefits of rapid onset and good anesthetic maintenance. Epidural delivery systems have had many changes over the years. Early methods of epidural medica
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Jenkinson, Robert H., and Alaa Abd-Elsayed. "Patient-Controlled Analgesia." In Advanced Anesthesia Review, edited by Alaa Abd-Elsayed. Oxford University PressNew York, 2023. http://dx.doi.org/10.1093/med/9780197584521.003.0213.

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Abstract Patient-controlled analgesia (PCA) is one of the most common methods used to provide postoperative pain control to patients. The most common form of PCA utilizes a programmable infusion pump to deliver a standard dose of intravenous opioid on demand by the patient. Although intravenous PCA administration is the most commonly utilized route for acute pain, epidural and intrathecal PCA use has become increasingly popular. PCA provides better pain control and a higher rate of patient satisfaction than traditional intermittent analgesic administration by medical staff. It can be a safe an
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"Perioperative epidural analgesia and patient-controlled epidural analgesia." In Handbook of Acute Pain Management. CRC Press, 2016. http://dx.doi.org/10.1201/b13785-12.

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Harries, Sarah, and Rachel Collis. "Regional analgesia for Labour." In Obstetric Anaesthesia. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780199688524.003.0009.

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Epidural analgesia is the most effective way of managing pain associated with labour. Pharmacological and technological advances, as well as a greater understanding of anatomy and physiology, have contributed to its safety and efficacy, with &gt;25% of women receiving epidural analgesia during labour in the UK today. The pharmacokinetics of drugs administered into the epidural space are explained, and the evidence for using different methods of administration to establish optimum analgesia, i.e. intermittent top-ups vs continuous infusions vs patient controlled epidural analgesia, is discussed
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Moore, Andrew, Jayne Edwards, Jodie Barden, and Henry McQuay. "Improving oral postoperative Analgesia." In Bandolier’s Little Book of Pain. Oxford University PressNew York, NY, 1992. http://dx.doi.org/10.1093/oso/9780192632470.003.0087.

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Abstract Successive initiatives in the 1990s at Stoke Mandeville Hospital had made progress in using new analgesic techniques like epidural, spinal, patient and nurse controlled analgesia. But management of subsequent ‘step-down’ prescribing of oral analgesics was not keeping pace. Patients’ postoperative care was not the best because of the inadequacy of the oral component. Prescribing at this stage was unstructured, with a wide range of oral analgesics in routine use, without any evidence base. Expenditure on oral analgesia was rising rapidly.
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Conference papers on the topic "Epidural Patient-Controlled Analgesia"

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van Samkar, G., YR Tan, H. Hermanns, et al. "220 Comparison of patient controlled versus continuous epidural analgesia in adult surgical patients: a systematic review." In ESRA 2021 Virtual Congress, 8–9–10 September 2021. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/rapm-2021-esra.220.

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Vargiu, Virginia, Gaetano Riemma, Andrea Rosati, et al. "#986 Efficacy of postoperative patient controlled epidural analgesia in the management of acute post-operative pain control in gynecological cancer patient a network meta-analysis." In ESGO 2023 Congress. BMJ Publishing Group Ltd, 2023. http://dx.doi.org/10.1136/ijgc-2023-esgo.682.

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