2010
Prevention of postdural puncture headache after accidental dural puncture: a quantitative systematic review
Apfel C, Saxena A, Cakmakkaya O, Gaiser R, George E, Radke O. Prevention of postdural puncture headache after accidental dural puncture: a quantitative systematic review. British Journal Of Anaesthesia 2010, 105: 255-263. PMID: 20682567, DOI: 10.1093/bja/aeq191.Peer-Reviewed Original ResearchConceptsProphylactic epidural blood patchPostdural puncture headacheAccidental dural punctureRelative riskQuantitative systematic reviewEpidural morphineIntrathecal catheterPuncture headacheDural punctureSystematic reviewAvailable evidenceLarge multicentre RCTEpidural blood patchIntrathecal salineBlood patchMulticentre RCTSevere headacheHeadachePublication biasStatistical significanceClear consensusMorphineCatheterPreventative practicesPositive results
2005
Advancing an epidural catheter 10 cm then retracting it 5 cm is no more effective than advancing it 5 cm
Cartagena R, Gaiser R. Advancing an epidural catheter 10 cm then retracting it 5 cm is no more effective than advancing it 5 cm. Journal Of Clinical Anesthesia 2005, 17: 528-530. PMID: 16297752, DOI: 10.1016/j.jclinane.2005.08.002.Peer-Reviewed Original ResearchConceptsEpidural catheterIntravascular placementSensory levelProspective Randomized StudyClear clinical benefitUniversity Medical CenterRandomized studyEpidural anesthesiaClinical benefitEpidural spaceMedical CenterCatheterParesthesiaDelivery unitFurther studiesPatientsGroupPlacementParturientsAnesthesiaHigh frequency
2003
The epidural test dose in obstetric anesthesia: it is not obsolete
Gaiser R. The epidural test dose in obstetric anesthesia: it is not obsolete. Journal Of Clinical Anesthesia 2003, 15: 474-477. PMID: 14652129, DOI: 10.1016/s0952-8180(03)00113-2.Peer-Reviewed Original ResearchConceptsEpidural test doseTest dosePositive test doseMaternal heart rateLidocaine 1.5Tachycardic responsesEpidural catheterObstetric patientsLabor painUterine contractionsObstetric anesthesiaHeart rateIntravascular cathetersSensory levelCatheterDoseIncorrect placementLack of sensitivityMinutesPainPatientsAnesthesiaAnesthesiologistsEpinephrineFetuses
1994
Epidural lidocaine versus 2-chloroprocaine for fetal distress requiring urgent cesarean section
Gaiser R, Cheek T, Gutsche B. Epidural lidocaine versus 2-chloroprocaine for fetal distress requiring urgent cesarean section. International Journal Of Obstetric Anesthesia 1994, 3: 208-210. PMID: 15636952, DOI: 10.1016/0959-289x(94)90070-1.Peer-Reviewed Original ResearchUrgent cesarean sectionNeonatal Apgar scoresUrgent cesarean deliveryNeonatal umbilical cordAcidotic fetusesApgar scoreEpidural lidocaineCesarean sectionEpidural catheterCesarean deliveryFetal distressRetrospective reviewDistressed fetusesIncision timeUmbilical cordChloroprocaineDrug AdministrationQuick onsetLidocaineTreatment populationFetusesSodium bicarbonateOnsetCatheterCord