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
1997
Comparison of 0.25% ropivacaine and bupivacaine for epidural analgesia for labor and vaginal delivery
Gaiser R, Venkateswaren P, Cheek T, Persiley E, Buxbaum J, Hedge J, Joyce T, Gutsche B. Comparison of 0.25% ropivacaine and bupivacaine for epidural analgesia for labor and vaginal delivery. Journal Of Clinical Anesthesia 1997, 9: 564-568. PMID: 9347433, DOI: 10.1016/s0952-8180(97)00145-1.Peer-Reviewed Original ResearchConceptsASA physical status IPhysical status IVisual analog scaleMotor blockadeApgar scoreStatus IActive laborSensory levelContinuous lumbar epidural infusionUmbilical cord blood samplesLumbar epidural infusionMaternal blood pressureUmbilical cord gasesLumbar epidural catheterDouble-blind studyCord blood samplesMajor adverse effectsMaternal arterial concentrationsNon-blind studyAdaptive capacity scoresContraction painNeonatal effectsRopivacaine groupRopivacaine levelsBupivacaine group