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Epidural analgesia is a form of pain relief administered through the space surrounding the dural sheath either by direct injection or via catheter. The agent, when administered, can cause both a loss of sensation (anesthesia) and a loss of pain (analgesia), by reversibly interrupting the transmission of signals through nerves in or near the spinal cord. This form of pain relief has been found useful in many clinical situations. This book intends to provide an in-depth review of the current knowledge on epidural analgesia. The use of this form of analgesia is explored by contributors from different perspectives, including labor and delivery, postoperative analgesia in both pediatric and geriatric patients, and its role during anesthesia and surgery. In order to provide a balanced medical view this book was edited by an obstetric anesthesiologist.
Peridural anesthesia. --- Anesthesia, Epidural --- Anesthesia, Extradural --- Anesthesia, Peridural --- Epidural anesthesia --- Extradural anesthesia --- Conduction anesthesia --- Paravertebral anesthesia --- Anaesthetics
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Endoscopy of the spinal canal – epiduroscopy (EDS) – has proven to be a safe, efficient and future-oriented interventional endoscopic procedure for everyday clinical use in diagnosing and managing pain syndromes. Epiduroscopy can be used in the sacral, lumbar, thoracic and even cervical regions of the spine to identify pathological structures, carry out tissue biopsies and perform epidural pain provocation tests to assess the pain relevance of visualized anomalies, making it an excellent diagnostic tool. Spinal endoscopy allows targeted epidural analgesic pharmacologic therapy for affected nerve roots or other painful regions in the epidural space. Treatment options provided by epiduroscopy include laser-assisted adhesiolysis or resection of pain-generating fibrosis, catheter placement, as well as support with other invasive procedures for pain relief. Professional EDS management enhances a multimodal philosophy and opens up new treatment strategies for patients. If used early on, it can control pain well before chronicity sets in.
Medicine & Public Health. --- Anesthesiology. --- Orthopedics. --- Medicine. --- Médecine --- Anesthésiologie --- Orthopédie --- Endoscopy. --- Spinal cord -- Surgery. --- Spinal cord. --- Endoscopy --- Epidural Space --- Low Back Pain --- Surgical Procedures, Minimally Invasive --- Back Pain --- Diagnostic Techniques, Surgical --- Spinal Canal --- Spine --- Pain --- Diagnostic Techniques and Procedures --- Surgical Procedures, Operative --- Neurologic Manifestations --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Diagnosis --- Signs and Symptoms --- Bone and Bones --- Skeleton --- Nervous System Diseases --- Pathological Conditions, Signs and Symptoms --- Musculoskeletal System --- Diseases --- Anatomy --- Anesthesiology --- Surgery & Anesthesiology --- Health & Biological Sciences --- Peridural anesthesia. --- Spinal nerves --- Diseases. --- Anesthesia, Epidural --- Anesthesia, Extradural --- Anesthesia, Peridural --- Epidural anesthesia --- Extradural anesthesia --- Conduction anesthesia --- Paravertebral anesthesia --- Orthopaedics --- Orthopedia --- Surgery --- Anaesthesiology
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This book offers an in-depth examination of labor pain and analgesia with the aim of promoting natural childbirth without pain. All aspects of the subject are covered, including the latest techniques of delivering labor analgesia. Importantly, emphasis is placed on a holistic approach, detailed attention being paid to the humanization of childbirth and behavioral aspects in addition to evidence-based medicine. Potential future developments are also addressed, with discussion of opportunities that have yet to be realized. In order to ensure that the text is easily readable for trainees as well as established practitioners, chapters have been restricted to a manageable length and information is presented clearly and succinctly. Step-by-step tutorials and boxes highlighting practical points are used to clarify technical aspects. The authors include both well-established experts and young emerging professionals from various European countries, ensuring an intercultural perspective.
Medicine & Public Health. --- Anesthesiology. --- Obstetrics/Perinatology. --- Maternal and Child Health. --- Pain Medicine. --- Medicine. --- Obstetrics. --- Maternal and infant welfare. --- Médecine --- Anesthésiologie --- Obstétrique --- Surgery & Anesthesiology --- Health & Biological Sciences --- Anesthesiology --- Anesthesia in obstetrics. --- Peridural anesthesia. --- Labor (Obstetrics) --- Birth --- Obstetric labor --- Anesthesia, Epidural --- Anesthesia, Extradural --- Anesthesia, Peridural --- Epidural anesthesia --- Extradural anesthesia --- Anesthetics in obstetrics --- Obstetric anesthesia --- Maternal and child health services. --- Pain medicine. --- Obstetrics --- Pregnancy --- Childbirth --- Delivery (Obstetrics) --- Conduction anesthesia --- Paravertebral anesthesia --- Obstetrics/Perinatology/Midwifery. --- Medicine --- Infant welfare --- Infants --- Maternity welfare --- Child welfare --- Mothers --- Women --- Maternal health services --- Maternal-fetal medicine --- Anaesthesiology --- Surgery --- Charities, protection, etc. --- Charities --- Algiatry
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This book examines the future of birthing practices, particularly by focusing on epidural analgesia in childbirth. It describes historical and cultural trajectories that have shaped the way in which birth is understood in Western, developed nations. In setting out the nature of epidural history, knowledge and practice, the book delves into related birth practices within the hospital setting. By critically examining these practices, which are embedded in a scientific discourse that rationalises and relies upon technology use, the authors argue that epidural analgesia has been positioned as a safe technology in contemporary maternity culture, despite it carrying particular risks. In examining alternative research the book proposes that increasing epidural rates are not only due to greater pain relief requirements or access but are influenced by technocratic values and a fragmented maternity system. The authors outline the way in which this epidural discourse influences how information is presented to women and how this affects their choices around the use of pain relief in labour.
Anesthesia in obstetrics. --- Peridural anesthesia. --- Anesthesia, Epidural --- Anesthesia, Extradural --- Anesthesia, Peridural --- Epidural anesthesia --- Extradural anesthesia --- Conduction anesthesia --- Paravertebral anesthesia --- Anesthetics in obstetrics --- Obstetric anesthesia --- Obstetrics --- Social medicine. --- Medical anthropology. --- Maternal and infant welfare. --- Ethnography. --- Women. --- Medical Sociology. --- Medical Anthropology. --- Maternal and Child Health. --- Women's Studies. --- Human females --- Wimmin --- Woman --- Womon --- Womyn --- Females --- Human beings --- Femininity --- Cultural anthropology --- Ethnography --- Races of man --- Social anthropology --- Anthropology --- Infant welfare --- Infants --- Maternity welfare --- Child welfare --- Mothers --- Women --- Maternal health services --- Medical care --- Medicine --- Medical sociology --- Medicine, Social --- Public health --- Public welfare --- Sociology --- Medical ethics --- Medical sociologists --- Charities, protection, etc. --- Charities --- Anthropological aspects --- Social aspects --- kvinder --- fødsel --- epidural analgasi --- smertelindring --- epiduralblokade --- obstetrik --- fødselssmerter --- Maternal and child health services.
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