Further support for the reduction in total local anesthetic consumption is observed when evaluating the need for rescue clinician boluses
. It has been documented that PIEB is associated with less need for clinician intervention for inadequate pain control.
Mean VAS scores at first demand of analgesia in both groups remained > 4.0 (4.94 +- 0.91 vs 5.66 +-1.239; p=0.001) both patients in both groups required additional boluses
of study drugs.
Our patients would suffer (women would experience more pain, greater motor block, longer labors, more assisted deliveries and lower satisfaction) and our workload would increase (we would need to replace many more epidural catheters, provide more manual supplementary epidural boluses
during labor, and more frequently pause epidural pumps for problematic motor block or maternal inability to push).
The total number of inhalational boluses
administered were comparable (Group H=43 and Group n=30).
DKA was resolved in each patient, using only insulin in the form of hourly IV boluses
. There were no deaths; therefore, early survival in our cohort was 100%.
This study was planned to investigate the effect of using trace minerals boluses
as a source of Se, Cu, Zn, Co and Mn to Naemi ewes at late gestation (60 days prepartum) on the mineral profile of the ewes and their newborn lambs at birth, colostrum composition and weight of the newborn.
After all of the food boluses
were collected, the subjects rinsed their mouth with water.
I tend to use a bolus technique, where one or two boluses
are injected while tenting the skin up to ensure injection into the correct plane and to avoid the vessels.
However a third management tweak - the use of trace element boluses
- has made little difference to his scanning percentages.
Oesophageal food boluses
as well as their extraction can result in complications [11-13].
One or two additional boluses
of oxytocin 2.5 IU were permitted before other uterotonic drugs were used.
Pinder et al12 studied the haemodynamic effects of boluses
of oxytocin, 5 and 10 u, in 34 women having Caesarean section under spinal anesthesia.
(2008) on the concentrate mix-rice straw feeding system showed that ruminating time, number of boluses
and chewing movements, and feed value index (FVI) were slightly lower when small particles of spent mushroom substrates were fed compared with long particles of rice straw, but that the eating, ruminating and chewing efficiencies were higher than when only rice straw was fed.
SAN ANTONIO -- Providing epidural anesthesia in programmed boluses
of higher volume with a longer duration between doses decreased total anesthetic consumption and variability without decreasing patient satisfaction in a randomized, controlled, double-blinded study of 180 laboring women.