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International Journal of Obstetric Anesthesia

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https://www.readbyqxmd.com/read/30143429/myocardial-tissue-characterisation-and-detection-of-myocardial-oedema-by-cardiovascular-magnetic-resonance-in-women-with-pre-eclampsia-a-pilot-study
#1
S S M Chen, L Leeton, J M Castro, A T Dennis
BACKGROUND: Pre-eclampsia is characterised by increased left ventricular wall thickness on transthoracic echocardiography (TTE). This is assumed to be myocardial hypertrophy, however TTE cannot determine myocardial structure which may be muscle, oedema or fibrosis. Given the high incidence of peripheral oedema in pre-eclampsia, we hypothesised that increased thickness could represent oedema. Cardiovascular magnetic resonance (CMR) characterises myocardial tissue, differentiating between hypertrophy, oedema and fibrosis...
August 2, 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/30131260/repeated-attacks-of-type-iii-hereditary-angioedema-with-factor-xii-mutation-during-pregnancy
#2
S Feray, O Fain, G Kayem, N Sabourdin, I Constant, A Rigouzzo
In type III hereditary angioedema (HAE type III), the phenotype is the same as type I and type II disease, but the level and function of C1-esterase inhibitor (C1-INH) is normal. Hereditary angioedema type III has been described as an oestrogen-sensitive form because it can be triggered or aggravated by exposure to high oestrogen levels as seen during pregnancy, especially when associated with Factor XII mutation. This case report describes the evolution and management of repeated angioedema attacks during pregnancy in a woman with HAE, with normal levels and function of C1-INH (type III); and a mis-sense mutation of factor XII...
August 2, 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/30131261/postpartum-hemoptysis-as-presenting-sign-of-longstanding-vasculitis
#3
D J Berman, N Knibbs, L Friedman, M Rocco
We present the case of a 26-year-old postpartum patient who presented with an episode of desaturation and hemoptysis on postpartum day three after an uncomplicated spontaneous vaginal delivery. The patient came to our attention in the postpartum area after she experienced massive hemoptysis and we were called by the obstetric team. The patient was subsequently intubated, mechanically ventilated, and underwent bronchoscopy, demonstrating diffuse alveolar hemorrhage. She was brought to the intensive care unit, placed on high-dose steroids and plasmapheresis was initiated...
July 29, 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/30131262/acupuncture-for-reducing-pruritus-induced-by-intrathecal-morphine-at-elective-cesarean-delivery-a-placebo-controlled-randomized-double-blind-trial
#4
Y Mazda, T Kikuchi, A Yoshimatsu, A Kato, S Nagashima, K Terui
BACKGROUND: Intrathecal morphine is a standard postoperative analgesic administered after cesarean delivery, but frequently causes pruritus. Acupuncture reportedly resolves refractory pruritus in certain patients. The aim of the study was to investigate the effectiveness of acupuncture in preventing pruritus induced by intrathecal morphine. METHODS: Thirty parturients received intrathecal hyperbaric bupivacaine (12 mg), fentanyl (10 µg), and morphine (150 µg) for spinal anesthesia at elective cesarean delivery at term...
July 27, 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/30057147/management-of-anesthesia-for-cesarean-delivery-in-a-patient-with-an-unruptured-intracranial-aneurysm
#5
N Parikh, N Parikh
Headaches are a common symptom during pregnancy. The thunderclap headache is a sudden onset headache reaching maximal intensity within seconds to minutes. It is typically a subarachnoid hemorrhage caused by rupture of an intracranial aneurysm or arteriovenous malformation. Physiologic changes of pregnancy, such as increased cardiac output and plasma volume, may increase the risk of aneurysmal rupture. The relationship between the mode of delivery and incidence of rupture is not well defined. In this case report, we discuss the anesthetic management for cesarean delivery of a parturient with an unruptured aneurysm, located on the left ophthalmic-internal carotid artery...
July 6, 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/30057149/ocular-ultrasonography-for-diagnosing-increased-intracranial-pressure-in-patients-with-severe-preeclampsia
#6
G Brzan Simenc, J Ambrozic, K Prokselj, N Tul, M Cvijic, T Mirkovic, M Lucovnik
BACKGROUND: Ultrasound measurements of optic nerve sheath diameter (ONSD) and optic disc height (ODH) measured outside pregnancy correlate with intracranial hypertension. Data on the usefulness of ocular ultrasonography in preeclampsia are limited. OBJECTIVE: To determine whether ONSD and ODH are greater in patients with features of severe preeclampsia compared to healthy controls. METHODS: Consecutively admitted patients with severe preeclampsia (according to the ACOG Task Force on Hypertension in Pregnancy) and healthy term control pregnant women were included in this prospective observational study...
July 4, 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/30055871/potential-for-lowering-the-risk-of-autonomic-dysreflexia-by-means-of-transversus-abdominis-plane-block-in-a-paraplegic-patient-for-cesarean-delivery
#7
LETTER
R Fantin, C Brunner, G Putz
No abstract text is available yet for this article.
July 3, 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/30057148/early-warning-scores-a-lesson-from-maternal-death
#8
LETTER
S Quasim, K Morse
No abstract text is available yet for this article.
June 28, 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/30060836/successful-spinal-anaesthesia-for-caesarean-section-in-a-patient-with-marfan-syndrome-complicated-by-dural-ectasia
#9
N Skjellerup
Marfan syndrome is a connective tissue disorder that may be complicated during pregnancy by aortic dissection. Caesarean section may be selected to avoid the haemodynamic challenges of vaginal birth. The common occurrence of dural ectasia in patients with Marfan syndrome is known to be associated with failed neuraxial anaesthesia. This report describes the administration of spinal anaesthesia to a woman with Marfan syndrome, and discusses why a hypobaric bupivacaine and opioid mixture, warmed to 37°C and injected intrathecally with the patient seated, produced successful surgical anaesthesia...
August 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29954650/a-review-of-blood-pressure-measurement-in-obese-pregnant-women
#10
REVIEW
V A Eley, R Christensen, S Kumar, L K Callaway
Blood pressure monitoring is a critical component of antenatal, peripartum and postnatal care. The accurate detection and treatment of abnormal blood pressure during pregnancy is essential for the optimisation of maternal and neonatal outcomes. Increasing maternal obesity in western populations is well documented. The presence of a large arm circumference in obese pregnant women may lead to difficult and inaccurate blood pressure measurements. Difficulties measuring blood pressure in non-pregnant obese patients are well described...
August 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29954649/association-between-intrapartum-epidural-use-and-maternal-postpartum-depression-presenting-for-medical-care-a-population-based-matched-cohort-study
#11
Y Maria Wu, E McArthur, S Dixon, J S Dirk, B K Welk
PURPOSE: To evaluate whether intrapartum epidural use is associated with maternal postpartum depression presenting for medical care. METHODS: Population-based, matched cohort study including all adult nulliparous women in Ontario, Canada from 2006 to 2012 without a history of depression, who had a term vaginal delivery. Seventy covariates including maternal demographics, medical and psychiatric conditions, prenatal and perinatal complications, and healthcare utilization were measured...
August 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29945750/response-letter-to-correspondence
#12
LETTER
A T Dennis, M Warren
No abstract text is available yet for this article.
August 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29945749/immediate-births-or-not-so-immediate-births-comparing-like-with-like
#13
LETTER
C Goh, L Crowley
No abstract text is available yet for this article.
August 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29914785/the-optimal-concentration-of-bupivacaine-and-levobupivacaine-for-labor-pain-management-using-patient-controlled-epidural-analgesia-a-double-blind-randomized-controlled-trial
#14
V Baliuliene, A Macas, K Rimaitis
BACKGROUND: The study aim was to evaluate the efficacy and safety of different low concentrations of two local anesthetics for labor analgesia using patient-controlled epidural analgesia. METHODS: A double-blind, randomized controlled trial recruiting healthy nulliparous women was conducted from 2014 to 2017. Epidural analgesia was provided using local anesthetic and fentanyl. Patients were allocated to six groups, according to the concentration of bupivacaine or levobupivacaine (0...
August 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29914783/re-caesarean-birth-what-s-in-a-name
#15
LETTER
Jan Bláha, Martin Stříteský
No abstract text is available yet for this article.
August 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29914782/a-randomized-trial-comparing-surgeon-administered-intraoperative-transversus-abdominis-plane-block-with-anesthesiologist-administered-transcutaneous-block
#16
D M Narasimhulu, L Scharfman, H Minkoff, B George, P Homel, K Tyagaraj
BACKGROUND: Injection of local anesthetic into the transversus abdominis plane (TAP block) decreases systemic morphine requirements after abdominal surgery. We compared intraoperative surgeon-administered TAP block (surgical TAP) to anesthesiologist-administered transcutaneous ultrasound-guided TAP block (conventional TAP) for post-cesarean analgesia. We hypothesized that surgical TAP blocks would take less time to perform than conventional TAP blocks. METHODS: We performed a randomized trial, recruiting 41 women undergoing cesarean delivery under neuraxial anesthesia, assigning them to either surgical TAP block (n=20) or conventional TAP block (n=21)...
August 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29914781/quality-improvement-in-obstetric-anaesthesia
#17
EDITORIAL
M Wikner, J Bamber
No abstract text is available yet for this article.
August 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29773486/labor-analgesia-in-czech-republic-and-slovakia-a-2015-national-survey
#18
J Bláha, P Štourač, M Grochová, R Klozová, S Richterová, P Nosková, D Seidlová, V Zenkner, A Novotný, D Schwarz, J Ščamburová, M Kosinová, Ch Kufa, M Kirchnerová, J Macková, L Várošová, R Toboláková, J Cepák, J Firment
BACKGROUND: The purpose of this international survey was to describe the current practices and techniques of labor analgesia in the Czech Republic (CZE) and Slovakia (SVK). METHODS: All Czech and Slovak departments that provide obstetric anesthesia were invited to participate in a one-month (November 2015) prospective study that monitored in detail all peripartum anesthetic procedures delivered by anesthesiologists. Participating centers recorded all data on-line in the CLADE-IS database (Masaryk University, CZE)...
August 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29773485/pregnancy-after-heterotopic-heart-transplant-removal
#19
S Churchill, L de Lloyd, H C Francis, H Wallis
Heterotopic heart transplants were introduced in 1974. The technique allows the patient's native heart to be preserved in situ, alongside the transplanted heterotopic donor heart. We present the case of a nulliparous woman who underwent heterotopic heart transplant in infancy, and subsequent explantation of the donor heart eleven years later, when her native heart function recovered. In adulthood the patient attended pre-pregnancy counselling and was awaiting cardiac magnetic resonance imaging when she presented pregnant at 6 weeks-of-gestation...
August 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29773484/the-effect-of-a-single-intraoperative-dose-of-intravenous-dexamethasone-8-mg-on-post-cesarean-delivery-analgesia-a-randomized-controlled-trial
#20
U Ituk, K Thenuwara
BACKGROUND: A single perioperative dose of dexamethasone has been shown to improve postoperative analgesia and reduce opioid consumption. However, this analgesic and opioid sparing effect has not been well assessed as part of a multimodal analgesic regimen in women post-cesarean delivery. METHODS: Healthy women having cesarean delivery under spinal anesthesia were randomly assigned to receive intravenous dexamethasone 8 mg or placebo after delivery and clamping of the umbilical cord...
August 2018: International Journal of Obstetric Anesthesia
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