A5078824453- Anesthesia and Pain Management
- Cardiac, Anesthesia and Surgical Outcomes
- Maternal and Perinatal Health Interventions
- Maternal and fetal healthcare
- Cardiovascular Issues in Pregnancy
- Pregnancy-related medical research
- Assisted Reproductive Technology and Twin Pregnancy
- Pregnancy and preeclampsia studies
- Pediatric Pain Management Techniques
- Cardiac Arrhythmias and Treatments
- Maternal Mental Health During Pregnancy and Postpartum
- Nausea and vomiting management
- Platelet Disorders and Treatments
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Enhanced Recovery After Surgery
- Spine and Intervertebral Disc Pathology
- Lysosomal Storage Disorders Research
- Neurosurgical Procedures and Complications
- Cardiac Valve Diseases and Treatments
- Glycogen Storage Diseases and Myoclonus
- Aortic Disease and Treatment Approaches
- Breastfeeding Practices and Influences
- Airway Management and Intubation Techniques
- Urological Disorders and Treatments
- Trauma and Emergency Care Studies
Shaare Zedek Medical Center
2016-2025
Hebrew University of Jerusalem
2008-2025
Hospital Universitario La Paz
2021-2025
Tel Aviv University
2017-2023
Tel Aviv Sourasky Medical Center
2023
Herzliya Medical Center
2021
Rabin Medical Center
2017-2018
Pain and Rehabilitation Medicine
2013
Hebrew College
2011-2012
Sunnybrook Health Science Centre
2005-2009
BACKGROUND Labour epidural analgesia reportedly fails in up to 10 25% of cases. A joint taskforce European Society Anaesthesiology and Intensive Care (ESAIC) experts was created develop this focused guideline on the management failing a previously well functioning catheter. DESIGN Six clinical questions were defined using PICO (Population/Intervention/Comparison/Outcome) strategy conduct systematic literature search. The pertained (PICOs 1, 2 3), human resource team training 4 5) for...
Postpartum depression (PPD) is associated with pain during and after delivery, studies showing reduced rates among women delivering labor epidural analgesia (LEA). We hypothesized that who intend to deliver LEA but do not receive it are at higher risk for PPD 6 weeks due the combined experience of untreated unmatched expectations labor, evaluated interaction between plans related LEA, satisfaction control when actually delivery.A total 1497 a vaginal delivery were enrolled into this...
Abstract Introduction: Epidural analgesia has been considered a risk factor for labor dystocia at trial of after cesarean (TOLAC) and uterine rupture. We evaluated the association between exposure to epidural during TOLAC mode delivery maternal-neonatal outcomes. Materials methods: A single center retrospective study women that consented within strict protocol 2006 2013. “users” were compared “non-users”. Primary outcome was delivery: repeat in-labor or vaginal birth (VBAC). Secondary...
We set out to examine incidence of chronic headache and back pain in women with PDPH after accidental dural puncture during labor.Chronic headache, backache, disability were assessed 18-24 months postpartum. Women treated epidural blood patch (PDPH-EBP) identified matched who had a without (PDPH-no EBP), uncomplicated analgesia analgesia. Our primary outcome was backache. Secondary the effect on development. used Chi-square or Fisher's exact test calculate odds ratios.There no statistically...
Abstract Background Conversion from spinal anaesthesia to general (GA) was shown be associated with more complications. It has been postulated that injection of a low dose local anaesthetic is risk factor. We aimed discover the rate conversion GA in women who received at least 10 mg heavy bupivacaine and opioids assess its factors. Methods All underwent for caesarean section 1 January 2017 31 December 2020 were included this analysis. Spinal performed according department protocol using 0.5%...
Objective: We aimed to evaluate the impact of epidural analgesia on mode delivery nulliparous women with a term single fetus in vertex presentation (NTSV) that attained second stage labor.Study design: A single-center retrospective study provided strict and constant department protocol for practice obstetric interventions, between 2005 2014. Epidural users were compared nonusers. The primary outcome was delivery. Secondary outcomes diagnosis prolonged labor maternal neonatal morbidities....
An important variability of anaesthetic standards care was discovered in the obstetric departments many European Union countries. After discussing this issue various meetings Society Anaesthesiology (ESA) board and its subcommittee, Board Medical Specialists (EBA-UEMS) executive members, ESA subcommittee members experts anaesthesiology have participated elaboration document. This experts’ opinion is focused mainly on patients safety concerns terms minimum practice. initial bibliographical...
Introduction: Amniotic fluid embolism (AFE) is a rare and potentially lethal obstetric complication, commonly occurring during labor, delivery, or immediately postpartum. There paucity of data regarding incidence, risk factors, clinical management. Our primary objective in this study was to evaluate presentation AFE delineate anesthesia management these cases.Methods: This 10 years retrospective multi-center cohort performed five tertiary university-affiliated medical centers, between the...
BACKGROUND: The effect of labor epidural analgesia (LEA) on successful breastfeeding has been evaluated in several studies with divergent results. We hypothesized that LEA would not influence status 6 weeks postpartum women who intended to breastfeed an environment encourages breastfeeding. METHODS: In this prospective observational cohort study, a total 1204 intending breastfeed, delivering vaginally or without LEA, were included; was recorded at 3 days and postpartum. Primary outcome...
Abstract Background Quantitative sensory testing ( QST ) measures response to painful stimuli and has been used predict post‐caesarean pain. Pain reported upon intravenous cannulation was shown epidural analgesic use pain intensity during labour. We hypothesized that by women local anaesthesia injection ILA for spinal may acute after caesarean delivery CD ). Methods In a prospective observational trial, 229 undergoing elective under were enrolled. Using standardized script before , received...
( Anesth Analg . 2018;126:1590–1597) At the Beilinson Campus of Rabin Medical Center in Petach Tikva, Israel, a proportion women who intend to deliver with labor epidural analgesia (LEA) are often unable receive it due lack available nursing staff, rooms, or anesthesiologists at time request. As there is no study date that has specifically examined relationship between birth plan, satisfaction LEA, and development postpartum depression (PPD), authors present impact delivering without when...
Two methods of local anaesthetic administration into the epidural space in natural delivery pain management are compared article. Methods programmed intermittent bolus (PIEB) and continuous infusion (CEI). Patient-controlled analgesia was provided simultaneously all cases.84 primipara with average age 30.7 (27.5-34) years, gestational 39.1 (38.5-40) weeks planned to were examined. PIEB patient controlled used first group. Patient (CEI) second Ropivacaine hydrochloride 0.08% without any...
To test the efficacy and safety of caudal anesthesia (CA) supplemented by low dose morphine in children who undergo renal surgery.Forty patients aged 2 months-14 years were enrolled randomly divided into two groups 20 each: Group A (bupivacaine 0.2% with fentanyl); B morphine). The duration surgery hospitalization time recorded. Postoperative pain score was measured Face Legs Activity Cry Consolability scale Wong-Baker Faces for those are older. Overall use rescue analgesics calculated.There...