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International Journal of Obstetric Anesthesia

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https://www.readbyqxmd.com/read/29343418/the-combination-of-corticosteroid-and-tocolytic-therapy-in-a-preeclamptic-patient-is-a-risk-factor-for-the-development-of-acute-pulmonary-oedema
#1
LETTER
K Nijs, K Nulens, J Dubois, M Van de Velde, B Stessel
No abstract text is available yet for this article.
December 27, 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29343416/intrathecal-tranexamic-acid-an-accident-waiting-to-happen
#2
LETTER
S Al-Kadhimi, A D Patel, F Plaat
No abstract text is available yet for this article.
December 22, 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29342411/lumbar-tattoos-and-epidural-analgesia-in-2018-time-to-let-it-go
#3
LETTER
N Kluger, J-C Sleth
No abstract text is available yet for this article.
December 22, 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29352624/anesthetic-management-of-two-parturients-with-cerebral-palsy-and-prior-selective-dorsal-rhizotomy
#4
C M Aiudi, E E Sharpe, K W Arendt, J J Pasternak, H P Sviggum
Selective dorsal rhizotomy is a surgical spine procedure used to reduce spasticity in patients with upper motor neuron dysfunction caused by conditions such as cerebral palsy. The optimal anesthetic approach for obstetric patients who have undergone a selective dorsal rhizotomy is unknown. The use and efficacy of neuraxial anesthesia in these patients has not been described. We describe the use of neuraxial anesthesia in two patients with prior selective dorsal rhizotomy. Unless contraindicated for other reasons, a neuraxial anesthetic approach appears to be an effective option in patients with a history of a selective dorsal rhizotomy...
December 15, 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29343417/in-response-to-chebbout-et-al-does-the-addition-of-active-body-warming-to-in-line-intravenous-fluid-warming-prevent-maternal-hypothermia-during-elective-caesarean-section-a-randomised-controlled-trial
#5
LETTER
P Sultan, B Carvalho
No abstract text is available yet for this article.
December 14, 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29249272/successful-spinal-anaesthesia-in-a-patient-with-a-tarlov-cyst
#6
N Pfund, A Oh, A Cyna
Perineural (Tarlov) cysts are cerebrospinal fluid-containing perineural sacs that are usually located in the sacral spine. While often asymptomatic, they can cause progressive neurological symptoms including pain, paraesthesia and weakness. We present a case of a 24-year-old patient who had uneventful spinal anaesthesia at the L3-4 level for an elective caesarean section. Prior to her procedure, she had reported a two-year history of intermittent back pain and lower-limb paraesthesia, secondary to an S1 segment perineural cyst...
December 14, 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29352623/effect-of-method-of-anesthesia-on-the-reproductive-and-obstetric-outcomes-of-heterotopic-pregnancies
#7
F Liu, Y F Liu, J Liu, Y Huang, G F Xu, J Cai, Y Chen, Y Q Wu, Y Y Ying, R J Zhang, D Zhang
BACKGROUND: Anesthesia is commonly used for surgical termination of the extrauterine component of heterotopic pregnancy. We sought to evaluate the effects of general and regional anesthesia during salpingectomy on reproductive and obstetric outcomes of heterotopic pregnancies. METHODS: A two-center, retrospective cohort study was conducted, and 49 heterotopic pregnancies were included. Baseline characteristics, reproductive and obstetric outcomes were compared between the general anesthesia and regional anesthesia groups...
December 7, 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29295778/the-birth-of-a-new-caesarean
#8
EDITORIAL
P Popham, M J Paech
No abstract text is available yet for this article.
December 2, 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29311012/anesthetic-management-of-mosaic-turner-s-syndrome-posted-for-elective-cesarean-delivery-after-spontaneous-pregnancy
#9
K Kalopita, L Michala, C Theofanakis, D Valsamidis
Turner's syndrome, one of the most common sex chromosome abnormalities in females, is caused by loss of part or all of an X chromosome. We report a case of mosaic Turner's syndrome, posted for elective cesarean delivery under low-dose sequential combined spinal epidural anesthesia. The unique features of this case were the combination of an anticipated difficult airway and both short stature and scoliosis in the lumbar region. A titrated combined spinal-epidural technique was performed in order to avoid hemodynamic instability, which could have been exacerbated in the presence of cardiovascular deformities that accompany this syndrome in many cases...
November 26, 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29352622/anaesthesia-for-caesarean-section-in-a-patient-with-parkinson-s-disease
#10
V D Ward
Parkinson's disease is prevalent worldwide but mainly affects the elderly and is rarely seen in women of child-bearing age. The clinical signs and symptoms, the physiological changes of pregnancy, and drug interactions, pose unique challenges for the anaesthetic management of patients with Parkinson's disease who present for delivery. A 36-year-old primigravid woman at 36 weeks' gestation, with Parkinson's disease, presented for pre-anaesthesia assessment prior to elective caesarean section. Her Parkinson's disease had been diagnosed four years previously and was treated with Sinemet (levodopa/carbidopa) and pramipexole...
November 21, 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29305266/pre-emptive-awake-airway-management-under-dexmedetomidine-sedation-in-a-parturient-with-spinal-muscular-atrophy-type-2
#11
C A Godlewski, P F Castellanos
Historically, pregnancy in females with spinal muscular atrophy was contraindicated due to the great risk to the parturient, but with improved management and increased survival more patients are becoming pregnant. We describe the management of a pregnant patient with spinal muscular atrophy type-2, who had severe restrictive lung disease, extensive spinal fusion that precluded neuraxial anesthesia, and chronic respiratory failure on nocturnal Bilevel Positive Airway Pressure. Airway management was further complicated by limited mouth opening and cervical spine ankylosis...
November 13, 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29295777/hereditary-haemorrhagic-telangiectasia-in-pregnancy-regional-and-general-anaesthesia
#12
M Crawford, R Burns, S Cooper, T Mackay
Hereditary haemorrhagic telangiectasia, also known as Osler-Weber-Rendu disease, is a rare autosomal dominant multisystem disorder, characterised by mucocutaneous telangiectases and arteriovenous malformations affecting any organ. The physiological changes in pregnancy pose significant obstetric and anaesthetic challenges for women affected by the disease. The optimal timing and mode of delivery requires careful consideration; and the benefits and risks of both regional and general anaesthetic techniques must be carefully considered, depending on the organs affected...
November 13, 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29223622/airway-changes-following-labor-and-delivery-in-preeclamptic-parturients-a-prospective-case-control-study
#13
P Ahuja, D Jain, N Bhardwaj, K Jain, S Gainder, M Kang
BACKGROUND: Preeclampsia is associated with greater narrowing of the airway than normal pregnancy, but it is not known if these changes worsen during labor and delivery. The aim of the study was to evaluate the airway during and after labor in women with or without preeclampsia. METHODS: Twenty-five normal and 25 severely preeclamptic pregnant women in early labor were recruited in this single-center, prospective, case-control study. Airway assessment was performed (a) before active labor (b) within one hour of delivery and (c) 24-48 h postpartum...
November 6, 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/28967583/in-reply-to-enhancing-communication-in-obstetric-anaesthesia-listen-listen-listen%C3%A2
#14
LETTER
S E R Stanford, D G Bogod
No abstract text is available yet for this article.
November 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/28964640/a-prospective-study-of-post-cesarean-delivery-hypoxia-after-spinal-anesthesia-with-intrathecal-morphine-150%C3%AE-g
#15
Karim S Ladha, Rie Kato, Lawrence C Tsen, Brian T Bateman, Toshiyuki Okutomi
INTRODUCTION: Delayed respiratory depression is a feared complication of intrathecal morphine in patients undergoing cesarean delivery. The incidence, timing and risk factors for hypoxia in this population are not known. METHODS: Patients undergoing cesarean delivery under spinal anesthesia at a tertiary care center from October 2012 to March 2016 were included in the study. The Berlin sleep apnea Questionnaire was completed before surgery. Oxygen saturation was recorded every second for 24hours after the initiation of spinal anesthesia...
November 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/28899733/paralysis-analysis-does-choice-of-muscle-relaxant-for-obstetric-general-anaesthesia-influence-neonatal-outcomes
#16
EDITORIAL
M Rucklidge
No abstract text is available yet for this article.
November 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/28882415/anaesthesia-for-abnormally-invasive-placenta-a-single-institution-case-series
#17
LETTER
M H Davies, T Brunning, J Kerr, K Cullis
No abstract text is available yet for this article.
November 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/28823524/intrathecal-clonidine-as-an-adjuvant-for-neuraxial-anaesthesia-during-caesarean-delivery-a-systematic-review-and-meta-analysis-of-randomised-trials
#18
S Crespo, G Dangelser, G Haller
BACKGROUND: Clonidine is used as adjuvant to local anaesthetics for spinal anaesthesia. Its potential harm and benefits have not been systematically reviewed in obstetrics, and medical regulatory authorities do not recommend its intrathecal administration. The aim of this study was to assess the safety and efficacy of intrathecal clonidine for caesarean delivery. METHODS: We conducted a systematic literature search in Medline, Embase, the Cochrane Library databases and trial registries for randomised trials assessing intrathecal clonidine as an adjuvant to local anaesthetics in patients undergoing caesarean delivery...
November 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/28803823/-unknown-title
#19
LETTER
N J Taylor, R Russell
No abstract text is available yet for this article.
November 2017: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/28801163/anaesthesia-for-abnormally-invasive-placenta-cell-salvage-and-tranexamic-acid
#20
LETTER
D Neely, S Elnour
No abstract text is available yet for this article.
November 2017: International Journal of Obstetric Anesthesia
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