Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0344307 (analgesia)
 28,200 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

As a member of the national medical team, the midwife has an important role to play in community health care. Traditional birth attendants still attend a large proportion of the Nigerian population but they are gradually being replaced by trained midwives who have taken an examination and registered with the Midwives' Board of Nigeria as a State Certified Midwife. Training includes working with a midwife for 2 years and oral and practical examinations. Professional nurses are also included in training programs for dual qualifications. The trained midwife handles normal pregnancy, labor and puerperium. She can work in rural areas under difficult conditions. Teaching and counseling are also her responsibility. She prepares the mother for analgesia when the need arises, introduces her to the modern approach to relaxation during childbirth and to physiologic feeding and care of the breasts. The midwife helps the patient to relate ill health to situations in her environment, e.g., unsanitary conditions, overcrowding, and superstitious beliefs. The community midwife tries to provide health guidance to all members of the family at home, in school, and wherever else she finds them, and to educate the people to make and carry out plans for improving their health problems. She will work with other voluntary organization, e.g., Red Cross, and the social welfare department.
 ...
PMID:Community health and the midwife. 4 57

A case report is presented of the anaesthetic management of a parturient with paramyotonia congenita and lupus anticoagulant antibodies. She had been treated with prophylactic, subcutaneous heparin and aspirin throughout her pregnancy. Epidural analgesia was provided for labour and delivery.
 ...
PMID:Lupus anticoagulant, paramyotonia congenita and pregnancy. 840 29

Two cases of accidental spinal anaesthesia occurring in obstetrical patients are reported and discussed. Epidural anaesthesia had been asked for by the women, both being free from any significant medical history. A Tuohy needle was inserted in the midline between L3 and L4 with the patient sitting. The extradural space was identified by the loss of resistance using saline. The test-dose (2 ml and 4 ml of 1% lignocaine respectively) was administered five minutes before changing the patient to the supine position. In the first case, after a test-dose had remained without any effect, 8 ml of 0.25% bupivacaine were injected, about one hour later. The patient rapidly complained of paralysis of her legs and difficulties in breathing. Her blood pressure decreased from 120/80 mmHg to 90/60 mmHg. The upper level of analgesia reached T4. She improved after infusion of 1.51 of lactated Ringer's solution. Endotracheal intubation was not required. Delivery was assisted with a vacuum extractor. In the other patient, when the extradural space had been located, there was a small reflux of clear fluid which did not contain any glucose. As the test-dose did not result in any effect. 2 ml of 2% lignocaine with adrenaline were injected. This was followed by an immediate sensory loss in the legs, extending up to T10. Caesarean section was decided on, without any further injections (foetal macrosomia, breech presentation). Both patients totally recovered without any sequela. Both children had an Apgar score of 10 at 1 and 5 minutes. The type of test-dose is discussed. Smaller volumes of more concentrated solutions are recommended.
 ...
PMID:[Accidental spinal anesthesia in obstetrics. Limits of epidural test-dose]. 833 73

A case report of uterine rupture in labor with epidural anesthesia is presented. The woman had good analgesia on the left side, but complained of severe labor pais on her right side. Uterine rupture occurred which was manifested by sudden vaginal bleeding, fainting, low blood pressure and fetal distress. She did not feel any pains typical of uterine rupture. Rupture of the left uterine wall, with a large hematoma in the left parametrium was seen at surgery. It seems the unilateral anesthesia of the left side concealed the early signs of rupture.
 ...
PMID:Delay in the diagnosis of rupture of the uterus due to epidural anesthesia in labor. 150 14

A 29-yr-old patient was diagnosed with acute intermittent porphyria (AIP) during pregnancy. She had a Caesarean section under lidocaine/fentanyl epidural blockade. Because of inadequate analgesia, general anaesthesia was induced with propofol. Postoperatively urinary porphobilinogen excretion (625 mumol.day-1) exceeded the upper limit of normal but no symptoms of porphyria developed. In anecdotal clinical reports and in a previously described rat model of porphyria, propofol was found to be safe. This is the first reported use of propofol in a pregnant porphyric patient. Anaesthetic drug safety in porphyria is reviewed and the choice of induction agent discussed. Data on which to base these decisions is limited but we conclude that propofol may be suitable for use in patients with porphyria.
 ...
PMID:Acute intermittent porphyria and caesarean delivery. 155 Nov 61

A patient received a massive overdose of papaveretum intravenously (estimated to be 180 mg) when the glass syringe of a patient-controlled analgesia machine disengaged from the drive mechanism. She was successfully resuscitated. The pump, on loan from the supplier, had passed a brief evaluation by the infusion pump test house designated by the Medical Devices Directorate of the Department of Health; it has since been withdrawn. It is recommended that patient-controlled analgesia equipment should be placed at or below patient heart level. The Department of Health is called on to institute a full, independent evaluation scheme for patient-controlled analgesia equipment.
 ...
PMID:Patient-controlled analgesia. A serious incident. 148 44

A case is presented of a morbidly obese parturient who had multiple medical problems. She had angina and was receiving nitrate therapy, had insulin-dependent diabetes mellitus, hypertension, asthma and benign intracranial hypertension (pseudotumour cerebri). Lumbar epidural analgesia was chosen for labour and delivery and resulted in an uneventful outcome.
 ...
PMID:Anaesthetic management of a complex morbidly obese parturient. 174 26

Fifteen millilitre of 0.5% lignocaine was injected into the radial artery to provide analgesia for hand surgery in an elderly arthritic female patient. She experienced only minimal discomfort during injection and analgesia was excellent. No untoward effects were observed. This technique is recommended when other methods of regional analgesia are unavailable.
 ...
PMID:Intra-arterial regional analgesia of the hand. 176 55

A 50-year old woman with right post-thoracotomy pain was referred to us for assistance with pain control. She required pentazocine 60-150 mg per day before our treatment. First, we treated her with intercostal nerve block or oral morphine sulfate. But the result was not satisfactory after five months. Then we tried intrapleural bupivacaine. An epidural catheter was inserted into the pleural space from eight intercostal space at the anterior axillary line and 10 ml of 0.5% bupivacaine was instilled. The treatment was effective for about 4-5 hours. We continued this method for 42 days with 10 ml of 0.25% or 0.5% bupivacaine once or twice a day. She felt so good from the intrapleural analgesia and could be discharged. There was no hypotension, respiratory depression, urinary retention except burning thoracic sensation. We think it is possible to use this intrapleural bupivacaine to treat a certain kind of unilateral chronic pain.
 ...
PMID:[A case report of long-term post-thoracotomy pain management with intrapleural bupivacaine]. 207 4

A 23-yr-old parturient with herpes gestationis spontaneously delivered a normal healthy infant under epidural analgesia. She received five injections of bupivacaine 0.5 per cent over a ten-hour period. There was no infection at the lumbar region, even though her body was covered with vesicles and bullae including the face and neck. Eight months after delivery the patient still has a vesicular eruption which occurs mainly during her menses.
 ...
PMID:Epidural analgesia for a parturient with herpes gestationis. 220 42


1 2 3 4 5 6 7 8 9 10 Next >>