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Epidural Effects
Does it really cause long-term lower back pain?

Despite stories of women experiencing long-term lower-back pain after receiving epidurals during labor, a new study has found no such connection. Researchers at North Staffordshire Hospital in England interviewed more than 300 women approximately two... [ More ]

Anesthesia for Special People: Nothing Different
February 2004
Frederick J. Spielman, M.D.
Last week I placed an epidural for labor and delivery. The patient became comfortable without complications and expressed appreciation for my skills and knowledge. To another anesthesiologist, the proce... [ More ]

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Intramuscular tramadol increases gastric pH during anesthesia
Purpose: Tramadol, (1RS, 2RS)-2-dimethylamino) methyl-1-(3-methoxyphenyl)-cyclohexanol hydrochloride, is an analgesic in clinical use. It has been reported that tramadol inhibits muscarinic type 3 receptor function, which primarily mediates sm... [ More ]

The A-line ARX index may be a more sensitive detector of arousal than the bispectral index during propofol-fentanyl-nitrous oxide anesthesia: a preliminary investigation
Purpose: To compare changes in the A-line ARX index (AAI) by the Alaris AEP monitorTM with those of the bispectral index (BIS) during propofol-fentanyl-nitrous oxide anesthesia.

Methods: Eighty female patients undergoing partial mastectomy we... [ More ]

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