Safe Labor Analgesia with Vaginal Submucosal Injection and Pudendal Nerve Block
Journal Title: Global Journal of Anesthesiology - Year 2016, Vol 3, Issue 1
Abstract
Aims: As old paracervical block using Kobak needle (Atom Medical, Tokyo, Japan) abondoned developing fetal bradycardia, new safe vaginal submucosal anesthesia was tried to safely remove labor pain. Methods: Three ml local anesthetics was injected to vaginal submucosal tissue with 2 mm exposed 22G 14 cm long Cathelin needle (Hakko, Nagano, Japan), and 5 mm exposed needle injecting 7-10ml anesthetics to block pudendal nerve. Results: Analgetic and relaxation effects were sufficient, despite no fetal and maternal damage was experienced among 4,070 cases of anesthesia in 6,976 births. Local anesthesia was repeated if it was necessary. Conclusion: Anesthesia technique was simple and analgesia effect was sufficient. No adverse effect developed due to shallow injection of small amount of local anesthetics. Vaginal delivery was promoted, and teminal fetal heart rate abnormality reduced due to the decreased resistance of birth canal, which resulted the reduction of emergency cesarean section.
Authors and Affiliations
Utsu Masaji, Kato Yuichiro, Takehara Kei, Maeda Kazuo
Keywords
Related Articles
- EP ID EP347422
- DOI 10.17352/2455-3476.000024
- Views 45
- Downloads 0
An Experience Feedback Committee for Improving Patient Safety: An Observational Study in Anaesthesiology
Background & Aims: An experience feedback committee (EFC) is a management method for patient safety designed for a medical team. The aim of this study was to analyse the functioning of an EFC in an anaesthesia department...
Raynaud’s phenomenon during anesthesia recovery period: A case report
This case report revealed that Raynaud’s phenomenon happened during anesthesia recovery period and caused panic. We performed general anesthesia for a patient who underwent laparoscopic nephrectomy and denied any signifi...
Fetal Monitoring in Open Fetal Surgery
Open surgery and fetoscopic surgery are of the safest procedures, whilst the ex-utero intrapartum treatment (EXIT) procedure has lost its significance as a result of the severe complications experienced both by the mothe...
Bilateral Subclavian Artery Stenosis: Anaesthetic consideration
Subclavian artery stenosis (SAS) is a relatively rare condition, even more so for its bilateral existence. In a study [1], the prevalence of SAS was 1.9% in the free-living cohorts and 7.1% in the clinical cohorts. SAS w...
Severe Repeated Hypotension Occurred after Rocuronium Administrations in a Morbidly Obese Patient: A Case Report
Rocuronium pharmacokinetics and pharmacodynamics can be influenced by several factors like gender and obesity. We propose a brief report of a patient (59 years old, weight 135 kg, BMI 52.7) who showed three episodes of s...