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PHOENIX, ARIZ. -- Women in labor who receive epidural anesthesia find Tuohy needle placement almost as painful as local anesthetic infiltration, suggesting that doctors should end the common practice of telling patients that infiltration of the local anesthetic is the worst part of the process, Dr. Douglas J. Bell said.
Instead, doctors should advise patients that they may have some pain with needle placement, but it will be much less than that of their last contraction, Dr. Bell said at the annual meeting of the Society for Obstetric Anesthesia and Perinatology.
Placement of the epidural catheter was the least painful component of the procedure. In a randomized, prospective trial, Dr. Bell and his colleagues studied 41 women who received an elective epidural. The local anesthetic consisted of 3 cc of 1.5% lidocaine with 1:200,000 epinephrine administered with a 25-gauge ...
Source: HighBeam Research, Epidural pain: placement vs. infiltration.(Small Study)