How To Treat Bunions
March 29, 2013 – 12:00 am | No Comment
A bunion is a deformity that is mainly made up of a lateral deviation of the great toe which enlarges due to a tissue or a bone. It is a serious foot problem. These are formed within the foot and not on the surface of the foot. An arthritic condition and  a result of bone degeneration it is found as  a lump on the outside portion of the big toe. Bunions are seen near the joint of the toe and sometimes  [...]

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Labor and Delivery with Laughing Gas

Submitted by on February 14, 2011 – 12:05 amNo Comment

The usage of laughing gas (nitrous oxide) during labor and delivery lost popularity in the U.S. ten or more years back. Solely duo hospitals located at Seattle & S. Francisco yet are offering it. However, interests have sparked about reinstating this staple in dental surgeon’s clinics to the labor and delivery rooms. Esteemed hospitals inclusive of DHMC intend to offer it, the federal Government is reassessing it, & following a protracted lull, the gear necessary for administering laughing gas is anticipated to be hitting markets shortly.

Many mothers are pondering over this option given the fact that it does not have any effect on the foetus. Although laughing gas is prevalently deployed for respite from labor and delivery pains in some parts of U.K., Canada & other nations, it has been dumped in the U.S. where other choices have been preferred over it like epidural. In case of epideural, drug for blocking pains seep via a tubular structure into a gap encasing the spinal cord. Since administration of epideurals by anesthesiologists is necessary hence its associated costs too are higher as compared to nitrous oxide.

During a meeting for Vermont, N. Hampshire, Maine hospitals, J. Bishop an authorized nurse mid wife from UCSF & leader in the endeavour at re-introducing laughing gas for labor and delivery, spoke about how the common thought process about laughing gas is that it’s bygone and that there surely must be something unfavourable or detrimental about it for which it has been eliminated. She adds that the actual reason has been going for greater specialization, high-tech choices.

Bishop & other supporters of re-introducing laughing gas give emphasis to the fact that it isn’t a magic bullet – but does help in allaying and taming pains instead of eliminating it. However, they state that it must be one of the choices that must be given to females, especially those delivering in hospitals that don’t have adequate facilities or those hospitals lacking 24 by 7 anaesthesiologist services. Nitrous oxide is also easier in self-administration, taking effect soon & could be deployed later in labor.

Bishop adds that although it is not appropriate for all women, however it is choice that can provide some degree of respite to several of them. For women not wanting to feel labor pains, laughing gas wouldn’t be a superlative choice for them. However for women who are willing to adopt the wait-&-watch policy and not wanting anything as strong as epideural would be good candidates for nitrous oxide.

The Dartmouth-Hitcock hospital plans on ordering duo equipments that they would offer for labor & delivery shortly. In the interim, the AHRQ is reassessing the efficacy & safety of laughing gas in comparison to other pain-reliever techniques.

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