2005
Predicting prolonged fetal heart rate deceleration following intrathecal fentanyl/bupivacaine
Gaiser R, McHugh M, Cheek T, Gutsche B. Predicting prolonged fetal heart rate deceleration following intrathecal fentanyl/bupivacaine. International Journal Of Obstetric Anesthesia 2005, 14: 208-211. PMID: 15935647, DOI: 10.1016/j.ijoa.2004.12.010.Peer-Reviewed Original ResearchConceptsFetal heart rate decelerationsHeart rate decelerationsFentanyl/bupivacaineSpinal-epidural analgesiaRate decelerationVariable fetal heart rate decelerationsFetal heart rate abnormalitiesHeart rate abnormalitiesCase-control studyProgress of laborFetal head engagementFetal tracingIntrathecal bupivacaineIntrathecal opioidsCohort studyConsecutive patientsLabor analgesiaVariable decelerationsRate abnormalitiesRisk factorsFetal headAnalgesiaBupivacaineHead engagementOpioids
2000
Effects of immediately initiating an epidural infusion in the combined spinal and epidural technique in nulliparous parturients
Gaiser R, Lewin S, Cheek T, Gutsche B. Effects of immediately initiating an epidural infusion in the combined spinal and epidural technique in nulliparous parturients. Regional Anesthesia & Pain Medicine 2000, 25: 223-227. PMID: 10834774, DOI: 10.1016/s1098-7339(00)90002-6.Peer-Reviewed Original ResearchConceptsDuration of analgesiaBlood pressureIntrathecal injectionEpidural infusionNulliparous parturientsMotor blockREF groupEpidural techniqueEphedrine useSensory levelDegree of analgesiaSeverity of pruritusAdditional analgesiaIntrathecal fentanylEpidural salineLabor analgesiaCervical dilationAnalgesiaSide effectsFentanylInfusionStatistical significanceGreater decreasePruritusParturientsEffects of Immediately Initiating an Epidural Infusion in the Combined Spinal and Epidural Technique in Nulliparous Parturients
Gaiser R, Lewin S, Cheek T, Gutsche B. Effects of Immediately Initiating an Epidural Infusion in the Combined Spinal and Epidural Technique in Nulliparous Parturients. Regional Anesthesia & Pain Medicine 2000, 25: 223-227. DOI: 10.1097/00115550-200005000-00003.Peer-Reviewed Original ResearchConceptsDuration of analgesiaBlood pressureIntrathecal injectionEpidural infusionNulliparous parturientsMotor blockREF groupEpidural techniqueEphedrine useSensory levelDegree of analgesiaSeverity of pruritusAdditional analgesiaCombined SpinalIntrathecal fentanylEpidural salineLabor analgesiaCervical dilationAnalgesiaSide effectsFentanylInfusionStatistical significanceGreater decreasePruritusComparison of combined spinal-epidural and low dose epidural for labour analgesia
Hepner D, Gaiser R, Cheek T, Gutsche B. Comparison of combined spinal-epidural and low dose epidural for labour analgesia. Journal Canadien D'anesthésie 2000, 47: 232-236. PMID: 10730733, DOI: 10.1007/bf03018918.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesia, EpiduralAnalgesia, ObstetricalAnalgesics, OpioidAnesthetics, LocalBuffersBupivacaineChi-Square DistributionDouble-Blind MethodEpinephrineFemaleFentanylHumansInjections, SpinalMotor NeuronsNerve BlockPainPain MeasurementPatient SatisfactionPregnancyProspective StudiesSodium BicarbonateTime FactorsVasoconstrictor AgentsConceptsEpidural analgesiaComplete analgesiaLow-dose epiduralsDouble-blind fashionSpinal-epidural techniqueOnset of analgesiaHealthy term parturientsAcademic medical centerSodium bicarbonate 8.4Additional analgesiaCSE analgesiaEpidural groupMotor blockadeMotor blockTerm parturientsEpidural techniqueLabor analgesiaParturients' satisfactionUniversity HospitalMaternal requestCSE groupAnalgesiaMedical CenterLabor floorOpioid mixtures
1999
Obstetricians' Ability to Assess the Airway
GAISER R, MCGONIGAL E, LITTS P, CHEEK T, GUTSCHE B. Obstetricians' Ability to Assess the Airway. Obstetrics And Gynecology 1999, 93: 648-652. DOI: 10.1097/00006250-199905000-00003.Peer-Reviewed Original ResearchConceptsPossible difficult intubationEarly epidural analgesiaAirway examinationObstetrician's abilityDifficult intubationEpidural analgesiaObstetric residentsChoice of analgesiaLabor analgesiaDifficult airwayAnalgesiaAirwayResident anesthesiologistsIntubationPhysiciansParturientsSignificant increaseObstetriciansExaminationEffect of educationConsultationResidentsAnesthesiologistsSpecificityObstetricians' ability to assess the airway.
Gaiser R, McGonigal E, Litts P, Cheek T, Gutsche B. Obstetricians' ability to assess the airway. Obstetrics And Gynecology 1999, 93: 648-52. PMID: 10912960, DOI: 10.1016/s0029-7844(98)00552-3.Peer-Reviewed Original ResearchConceptsPossible difficult intubationEarly epidural analgesiaAirway examinationObstetrician's abilityDifficult intubationEpidural analgesiaObstetric residentsChoice of analgesiaLabor analgesiaDifficult airwayAnalgesiaAirwayResident anesthesiologistsIntubationPhysiciansParturientsSignificant increaseObstetriciansExaminationEffect of educationConsultationResidentsAnesthesiologistsSpecificity
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 patientsComparison of three different doses of intrathecal fentanyl and sufentanil for labor analgesia
Gaiser R, Cheek T, Gutsche B. Comparison of three different doses of intrathecal fentanyl and sufentanil for labor analgesia. Journal Of Clinical Anesthesia 1998, 10: 488-493. PMID: 9793813, DOI: 10.1016/s0952-8180(98)00076-2.Peer-Reviewed Original ResearchConceptsDuration of analgesiaDuration of pruritusDoses of fentanylDoses of sufentanilBlood pressureIntrathecal sufentanilIntrathecal fentanylHeart rateASA physical status IDoses of opioidsMaternal blood pressureDouble-blind studyPhysical status IStatistical differenceDegree of pruritusDiastolic blood pressureMaternal heart rateFetal heart rateAdaptive capacity scoresContraction painApgar scoreLabor analgesiaStatus IPruritus scoreActive labor