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International Journal of Obstetric Anesthesia

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https://www.readbyqxmd.com/read/29921485/sepsis-in-pregnancy-and-the-puerperium
#1
REVIEW
C E G Burlinson, D Sirounis, K R Walley, A Chau
Sepsis remains a leading cause of maternal morbidity and mortality. Recognition and treatment of maternal sepsis are often delayed due to the physiological adaptations of pregnancy and vague or absent signs and symptoms during its initial presentation. Over the past decade, our understanding of sepsis has evolved and maternal early warning systems have been developed in an effort to help providers promptly identify and stratify parturients who are at risk. In addition, new consensus definitions and care bundles have recently been published by the World Health Organization and the Surviving Sepsis Campaign to facilitate earlier recognition and timely management of sepsis...
June 16, 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29914783/re-caesarean-birth-what-s-in-a-name
#2
LETTER
Jan Bláha, Martin Stříteský
No abstract text is available yet for this article.
June 15, 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/30017643/combined-spinal-epidural-anesthesia-with-non-invasive-ventilation-during-cesarean-delivery-of-a-woman-with-a-recent-diagnosis-of-amyotrophic-lateral-sclerosis
#3
D B M Kock-Cordeiro, E Brusse, R J M van den Biggelaar, A J Eggink, C D van der Marel
Amyotrophic lateral sclerosis is the most common neurodegenerative upper and lower motor neuron disease in adults but is not common in women of child-bearing age. We present a case of a pregnant woman who was diagnosed with amyotrophic lateral sclerosis and developed respiratory distress at 32 weeks-of-gestation. She underwent a cesarean delivery under combined spinal-epidural anesthesia with non-invasive ventilation. This resulted in a successful outcome for both the mother and the baby.
June 7, 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29983279/glossopharyngeal-ixth-cranial-nerve-palsy-associated-with-postural-change-after-accidental-dural-puncture
#4
LETTER
Z M Liao, J Ni
No abstract text is available yet for this article.
June 7, 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29945750/response-letter-to-correspondence
#5
LETTER
A T Dennis, M Warren
No abstract text is available yet for this article.
May 25, 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29945749/immediate-births-or-not-so-immediate-births-comparing-like-with-like
#6
LETTER
C Goh, L Crowley
No abstract text is available yet for this article.
May 25, 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29914786/spontaneous-laryngeal-haematoma-leading-to-airway-obstruction-after-vaginal-delivery
#7
LETTER
M Eidesheim, H Bouaziz, T François, D Herbain, N-E Baka, F Vial
No abstract text is available yet for this article.
May 19, 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
#8
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 2016. Epidural analgesia was provided using local anesthetic and fentanyl. Patients were allocated to six groups, according to the concentration of bupivacaine or levobupivacaine (0...
May 18, 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29914784/experimental-validation-of-the-compuflo%C3%A2-epidural-controlled-system-to-identify-the-epidural-space-and-its-clinical-use-in-difficult-obstetric-cases
#9
G Capogna, M Camorcia, A Coccoluto, M Micaglio, M Velardo
BACKGROUND: This prospective study was designed to validate the CompuFlo® device and to assess its use in difficult epidural placement. METHODS: In the first part of the study, 30 parturients requesting labor epidural analgesia were recruited. The block was performed by an expert anesthesiologist, with the Tuohy needle connected to the CompuFlo® device to evaluate the agreement between the anesthesiologist's reported sensation and the variation of pressure recorded by the CompuFlo®...
May 4, 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
#10
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)...
April 27, 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29747996/severe-aortic-stenosis-in-a-parturient-with-triplets-multidisciplinary-approach-for-cesarean-delivery
#11
LETTER
T Shah, K Vandyck
No abstract text is available yet for this article.
April 25, 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29773485/pregnancy-after-heterotopic-heart-transplant-removal
#12
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 (Newcomb et al., 2004). 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...
April 24, 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29804594/obstetric-anaesthesia-2018-belfast
#13
EDITORIAL
R Russell, N Lucas
No abstract text is available yet for this article.
May 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29602690/steroids-atosiban-and-pulmonary-oedema-are-or-may-be-a-cause
#14
LETTER
J Guy, E O'Kane, A Eggleton
No abstract text is available yet for this article.
May 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29550292/adding-diagnostic-power-to-the-physical-exam-can-employing-focused-cardiac-ultrasound-lead-to-improved-obstetric-outcomes
#15
EDITORIAL
J T Sullivan
No abstract text is available yet for this article.
May 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29544721/dexmedetomidine-high-flow-nasal-oxygen-and-sugammadex-reversal-of-rocuronium-overcoming-anaesthetic-challenges-in-a-parturient-with-congenital-muscular-dystrophy-presenting-for-caesarean-section
#16
M Creaney, R M Moriarty, M Milner, C Murphy
Congenital muscular dystrophies are characterised by progressive skeletal muscle weakness from birth or early infancy. Maternal respiratory compromise, joint contractures and presence of spinal instrumentation or fusion are some of the anaesthetic challenges that may be encountered in the obstetric setting. The choice of anaesthetic technique for surgical delivery needs to be considered on an individual basis. Multidisciplinary involvement is paramount to optimise peripartum care and outcomes. In this case report, we present the use of dexmedetomidine, humidified high-flow nasal oxygen, rocuronium and sugammadex in the anaesthetic management of a wheelchair-bound, non-invasive bilevel positive airway pressure ventilation-dependent parturient with congenital muscular dystrophy, who was presenting for caesarean section...
May 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29534950/incidence-and-risk-factors-for-chronic-pain-after-elective-caesarean-delivery-under-spinal-anaesthesia-in-a-chinese-cohort-a-prospective-study
#17
L Z Wang, C N Wei, F Xiao, X Y Chang, Y F Zhang
BACKGROUND: China has one of the highest rates of caesarean delivery in the world. The aim of this study was to investigate the incidence and risk factors for chronic pain after caesarean delivery in a Chinese cohort. METHODS: Patients undergoing elective caesarean delivery with a Pfannenstiel incision under spinal anaesthesia were recruited prospectively at a Chinese tertiary women's hospital. The State Trait Anxiety Inventory was measured before surgery. Postoperative analgesia was provided by intravenous patient-controlled analgesia for 48 hours...
May 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29534949/in-reply-steroids-atosiban-and-pulmonary-oedema-are-or-may-be-a-cause
#18
LETTER
K Nijs, K Nulens, J Dubois, M Van de Velde, B Stessel
No abstract text is available yet for this article.
May 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29523485/risk-stratification-resource-availability-and-choice-of-surgical-location-for-the-management-of-parturients-with-abnormal-placentation-a-survey-of-united-states-based-obstetric-anesthesiologists
#19
T R Grant, E H Ellinas, A O Kula, M Y Muravyeva
BACKGROUND: Parturients with abnormally adherent placentas present anesthetic challenges that include risk-stratification, management planning and resource utilization. The labor and delivery unit may be remote from the main operating room services. METHODS: Division chiefs of North American obstetric anesthesiology services were surveyed about their practices and management of parturients with an abnormally adherent placenta. RESULTS: Eighty-four of 122 chiefs, representing 103 hospital sites, responded to the survey (response rate 69%)...
May 2018: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/29519668/ultrasonographic-evaluation-of-gastric-contents-in-term-pregnant-women-fasted-for-six-hours
#20
S Hakak, C L McCaul, L Crowley
BACKGROUND: Current fasting guidelines suggest six hours are adequate to minimise the aspiration risk after a light meal consumed by pregnant women undergoing elective caesarean section. We assessed gastric contents in non-labouring pregnant women, using ultrasonographic analysis. METHODS: In a prospective study, pregnant women ≥36 weeks' gestation, without conditions likely to influence gastric emptying, underwent ultrasonographic analysis of their gastric antrum, after six hours of fasting following a standardised light meal...
May 2018: International Journal of Obstetric Anesthesia
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