Parturient recall of neuraxial analgesia risks: Impact of labor pain vs no labor pain

Mixed‐methods systematic review: Childbearing women's views, experiences, and decision‐making related to epidural analgesia in labour

“…When considering quantitative data, the women appeared to be aware of the risks associated with epidurals, knew of other pain relief options and seemed to be satisfied with the information provided in the antenatal period (Halls, 2008; Henry & Nand, 2004; Jackson, Henry, Avery, Vandenkerkhof, & Milne, 2000; Kamarzaman, Clark, Haque, & Ghani, 2011; Mahomed et al., 2015; Toledo et al., 2017). However, when considering the more detailed findings mostly provided by qualitative studies, women reported a lack of information on epidural analgesia and described their attempts at accessing the right information as not always satisfactory (Burkle, Olsen, Sviggum, & Jacob, 2017; Mahomed et al., 2015; Newnham et al., 2017; Toledo et al., 2017; Yoshioka et al., 2012). Epidural information was scant and consent was brief, often verbal, with women not required to understand the full list of side effects or possible risks (Newnham et al., 2017; Yoshioka et al., 2012).…”

“…Women reported a lack of information on epidural analgesia and described their attempts at accessing the right information as not always satisfactory (Burkle et al., 2017; Mahomed et al., 2015; Newnham et al., 2017; Toledo et al., 2017; Yoshioka et al., 2012). As epidural information is disparate and midwives might not consider providing detailed information about epidural to be a primary aim of their role (Newnham et al., 2017), healthcare professionals should not assume pregnant women have read and understood the implications of an epidural.…”

Comment on a paper by Ibrahim et al. entitled “Ultrasound‐guided adductor canal block after arthroscopic anterior cruciate ligament reconstruction: Effect of adding dexamethasone to bupivacaine, a randomized controlled trial”

“…The authors should be congratulated for performing a well-designed study in an important topic (e.g., acute pain) in patients undergoing elective surgery (Chen, Tang, Zhang, Jiang, & Liu, 2017;Oda, Izumi, Aso, & Ikeuchi, 2018). The need to improve post-operative recovery by reducing moderate to severe post-operative pain makes the topic very important in perioperative medicine (Burkle, Olsen, Sviggum, & Jacob, 2017;Shick, Lebovitz, & Conrad, 2017).…”

Efficacy of Preemptive Analgesics and the need to Standardize Anesthetic and Analgesic Management

“…The authors should be commended for performing a well-designed trial in an important topic (e.g., acute pain) in patients undergoing orthopedic surgery (2,3). The current emphasis on the need to improve overall postoperative recovery and patient satisfaction makes the topic very important in perioperative medicine (4,5).Although the study of Peng et al (1) was well conducted, there are some questions that could to be clarified by the authors that could be of benefit to the readers. First, the authors did not control for the use of intraoperative analgesics or anesthetics which are known to affect postoperative pain and subsequently recovery.…”

“…The authors should be commended for performing a well-designed trial in an important topic (e.g., acute pain) in patients undergoing orthopedic surgery (2,3). The current emphasis on the need to improve overall postoperative recovery and patient satisfaction makes the topic very important in perioperative medicine (4,5).…”