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
1998
Comparative Evaluation of Four Different Infusion Rates of Ropivacaine (2 mg/mL) for Epidural Labor Analgesia
Cascio M, Gaiser R, Camann W, Venkateswaran P, Hawkins J, McCarthy D. Comparative Evaluation of Four Different Infusion Rates of Ropivacaine (2 mg/mL) for Epidural Labor Analgesia. Regional Anesthesia & Pain Medicine 1998, 23: 548-553. DOI: 10.1097/00115550-199823060-00006.Peer-Reviewed Original ResearchConceptsVisual analog pain scaleML/hourMotor blockLabor analgesiaInfusion ratePain reliefBolus dosageHours groupNeurological adaptive capacity scoresEpidural infusion rateLess motor blockAnalog pain scaleLumbar epidural catheterLabor pain managementEpidural labor analgesiaInstitutional review board approvalReview board approvalAdaptive capacity scoresDifferent infusion ratesSatisfactory labor analgesiaBromage scaleRescue analgesiaApgar scoreEpidural catheterMost patientsComparative evaluation of four different infusion rates of ropivacaine (2 mg/mL) for epidural labor analgesia
Cascio M, Gaiser R, Camann W, Venkateswaran P, Hawkins J, McCarthy D. Comparative evaluation of four different infusion rates of ropivacaine (2 mg/mL) for epidural labor analgesia. Regional Anesthesia & Pain Medicine 1998, 23: 548-553. PMID: 9840848, DOI: 10.1016/s1098-7339(98)90079-7.Peer-Reviewed Original ResearchConceptsVisual analog pain scaleML/hourMotor blockLabor analgesiaInfusion ratePain reliefBolus dosageHours groupNeurological adaptive capacity scoresEpidural infusion rateLess motor blockAnalog pain scaleLumbar epidural catheterLabor pain managementEpidural labor analgesiaInstitutional review board approvalReview board approvalAdaptive capacity scoresDifferent infusion ratesSatisfactory labor analgesiaBromage scaleRescue analgesiaApgar scoreEpidural catheterMost patientsEpidural lidocaine for cesarean delivery of the distressed fetus
Gaiser R, Cheek T, Adams H, Gutsche B. Epidural lidocaine for cesarean delivery of the distressed fetus. International Journal Of Obstetric Anesthesia 1998, 7: 27-31. PMID: 15321243, DOI: 10.1016/s0959-289x(98)80025-3.Peer-Reviewed Original ResearchCesarean sectionChloroprocaine groupEpidural infusionCesarean deliverySensory levelT10 sensory levelT4 sensory levelUrgent cesarean sectionElective cesarean sectionUrgent cesarean deliveryAdaptive capacity scoresCompletion of injectionApgar scoreEpidural lidocaineElective groupEpidural catheterLidocaine levelsMaternal serumEpidural anesthesiaExcellent anesthesiaSodium bicarbonateDistressed fetusesAdequate anesthesiaElective casesEmergency group
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