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
2004
Glass recycling in the labour suite is environmentally sound and economical
Gaiser R, Cheek T, Gutsche B. Glass recycling in the labour suite is environmentally sound and economical. British Journal Of Anaesthesia 2004, 92: 584-586. PMID: 14977799, DOI: 10.1093/bja/aeh103.Peer-Reviewed Original Research
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
2000
Should intrathecal lidocaine be used in the 21st century?
Gaiser R. Should intrathecal lidocaine be used in the 21st century? Journal Of Clinical Anesthesia 2000, 12: 476-481. PMID: 11090735, DOI: 10.1016/s0952-8180(00)00186-0.Peer-Reviewed Original ResearchMeSH KeywordsAnesthesia, SpinalAnesthetics, LocalCauda EquinaFemaleHumansLidocaineMiddle AgedSpinal CordSyndromeConceptsCauda equina syndromeSingle-shot spinal anesthesiaSpinal anesthesiaContinuous spinal anesthesiaIntrathecal lidocaineSafe alternativeOutpatient spinal anesthesiaPermanent neurologic injuryTransient neurologic symptomsNeurologic symptomsNeurologic injuryBack painHyperbaric lidocaineGeneral anesthesiaLithotomy positionPermanent disabilityHyperbaric 5Intrathecal useLower incidenceSafe drugHigh incidenceAnesthesiaLidocaineShort proceduresSyndromeComparison 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
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 patients
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