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 ResearchMeSH KeywordsAdultAnesthesia, EpiduralAnesthesia, ObstetricalCatheterizationFemaleHumansParesthesiaPilot ProjectsPregnancyProspective StudiesConceptsEpidural catheterIntravascular placementSensory levelProspective Randomized StudyClear clinical benefitUniversity Medical CenterRandomized studyEpidural anesthesiaClinical benefitEpidural spaceMedical CenterCatheterParesthesiaDelivery unitFurther studiesPatientsGroupPlacementParturientsAnesthesiaHigh frequency
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 decreasePruritus
1997
The Zavanelli Maneuver Does Not Preclude Regional Anesthesia
Hepner D, Gaiser R, Cheek T, Gutsche B. The Zavanelli Maneuver Does Not Preclude Regional Anesthesia. Anesthesia & Analgesia 1997, 84: 1145-1146.. PMID: 9141949, DOI: 10.1097/00000539-199705000-00037.Peer-Reviewed Original Research
1996
Successful epidural anesthesia in a patient with an arachnoid cyst, preeclampsia, and triplets.
Gaiser R, Antonik L. Successful epidural anesthesia in a patient with an arachnoid cyst, preeclampsia, and triplets. Regional Anesthesia & Pain Medicine 1996, 21: 592-4. PMID: 8956399.Peer-Reviewed Original ResearchConceptsMajor conduction anesthesiaArachnoid cystEpidural anesthesiaConduction anesthesiaHigh-risk patientsSuccessful epidural anesthesiaMagnetic resonance imagingAirway manipulationAnesthetic considerationsFrequent findingAnesthesiaPatientsResonance imagingCystsPreeclampsiaParturientsContraindications