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International Journal of Obstetric Anesthesia

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https://www.readbyqxmd.com/read/28034599/neuraxial-analgesia-in-a-pregnant-woman-with-fowler-s-syndrome-and-sacral-neuromodulation
#1
M Ansó, L Veiga-Gil, J De Carlos, A Hualde, J Pérez-Cajaraville
We report the anesthetic management of a 16-year-old woman with Fowler's syndrome who became pregnant three years after sacral neuromodulation was initiated for treatment of the condition. Multidisciplinary consensus was to switch off the neurostimulator during pregnancy, and attempt vaginal delivery with a neuraxial block. When the patient was admitted for labor, an epidural catheter was placed successfully. The patient had a normal vaginal delivery. Sacral neuromodulation was restarted uneventfully in the early puerperium and the Fowler's syndrome remains well controlled...
December 5, 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/27955891/association-between-risk-of-neonatal-pneumothorax-and-mode-of-anesthesia-for-cesarean-delivery-at-term-a-nationwide-population-based-retrospective-cohort-study
#2
LETTER
Y Lai, Y Chia, C Wen, H Hsu, H Chang, W Huang
No abstract text is available yet for this article.
November 21, 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/28025008/prolonged-thoracic-epidural-analgesia-for-chest-tube-pain-during-pregnancy
#3
LETTER
M G Holmes, L A Bollag
No abstract text is available yet for this article.
November 19, 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/27931732/reply-to-the-letter-to-the-editor-more-tilt-less-drug-treating-severe-compression-of-inferior-vena-cava-during-caesarean-section
#4
LETTER
L Bouvet, P Lasselin, D Chassard
No abstract text is available yet for this article.
November 18, 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/27956011/more-tilt-less-drug-treating-severe-compression-of-inferior-vena-cava-during-caesarean-section
#5
LETTER
P Kamath, J H Bamber
No abstract text is available yet for this article.
November 17, 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/28017512/apnoeic-oxygenation-during-maternal-cardiac-arrest-in-a-parturient-with-extreme-obesity
#6
LETTER
S Phillips, S Subair, T Husain, P Sultan
No abstract text is available yet for this article.
November 16, 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/28017511/out-of-hospital-cardiac-arrest-in-pregnancy-with-good-neurological-outcome-for-mother-and-infant
#7
S Pecher, E William
Cardiac arrest in pregnancy is rare (about 1:30000 pregnancies) and out-of-hospital cardiac arrests are even less frequent. Resuscitation of the pregnant mother is challenging and requires attention to the altered physiology, specific pathologies and the presence and well-being of the fetus. Once circulation has been restored, the lack of high-grade evidence regarding delivery of the baby and post-resuscitation care makes decision making complex. We present a case of out-of-hospital maternal cardiac arrest with successful resuscitation and good neurological outcome for mother and infant...
November 15, 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/28012861/ijoa-a-global-vehicle-to-bolster-the-objectives-of-obstetric-anaesthesiology
#8
EDITORIAL
Michael Mike Paech
No abstract text is available yet for this article.
November 9, 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/28012860/role-of-transcranial-doppler-measurements-in-postpartum-patients-with-post-dural-puncture-headache-a-pilot-study
#9
LETTER
R B Vadhera, R Babazade, M S Suresh, M C Alvarado, A L Cruz, M A Belfort
No abstract text is available yet for this article.
November 4, 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/28012862/impact-of-obesity-on-post-dural-puncture-headache
#10
J Song, T Zhang, A Choy, A Penaco, V Joseph
INTRODUCTION: Previous studies have suggested an inverse relationship between obesity and development of dural puncture headache following spinal anesthesia. However, few have investigated the relationship between obesity and headaches after accidental dural puncture with an epidural needle. This study explored whether obesity has any association with headaches following an accidental dural puncture. METHODS: Records of patients who received epidural analgesia for labor and vaginal delivery between January 2011 and June 2015 were reviewed...
October 29, 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/27884668/noise-in-the-obstetric-operating-room
#11
LETTER
D M Drzymalski, J Ceruzzi, W R Camann
No abstract text is available yet for this article.
October 28, 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/27884665/airway-management-for-cesarean-delivery-performed-under-general-anesthesia
#12
S Rajagopalan, M Suresh, S L Clark, B Serratos, S Chandrasekhar
BACKGROUND: With the increasing popularity of neuraxial anesthesia, there has been a decline in the use of general anesthesia for cesarean delivery. We sought to examine the incidence, outcome and characteristics associated with a failed airway in patients undergoing cesarean delivery under general anesthesia. METHODS: A retrospective review of airway management in women undergoing cesarean delivery under general anesthesia over an eight-year period from 2006-2013 at an academic medical center was conducted...
October 27, 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/27890467/use-of-hyperbaric-oxygen-therapy-and-pegylated-carboxyhemoglobin-bovine-in-a-jehovah-s-witness-with-life-threatening-anemia-following-postpartum-hemorrhage
#13
K Thenuwara, J Thomas, M Ibsen, U Ituk, K Choi, E Nickel, M J Goodheart
We present a case of a Jehovah's Witness patient who refused blood products, with the exception of albumin and clotting factors, and underwent cesarean section under spinal anesthesia complicated by postpartum hemorrhage. She was fluid resuscitated and treated with multiple uterotonics and internal iliac artery embolization. Because of agitation she required emergency tracheal intubation. Her hemoglobin concentration dropped from a preoperative value of 12mg/dL to 3mg/dL on postoperative day one. She was acidotic, requiring vasopressors for hemodynamic stability and remained ventilated and sedated...
October 24, 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/27884666/anesthetic-considerations-in-a-parturient-with-congenital-insensitivity-to-pain-with-anhidrosis
#14
Z Pirani, F Qasem, S Katsiris
Congenital insensitivity to pain is a rare autosomal recessive disease characterized by varying degrees of autonomic dysfunction and sensory loss, including nociceptive hyposensitivity. It is this autonomic dysfunction that makes both general and neuraxial anesthesia challenging. Testing the block during neuraxial anesthesia may be difficult and the patient may be prone to hypotension and bradycardia. This case report describes the anesthetic management of a parturient with congenital insensitivity to pain presenting for cesarean delivery...
October 21, 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/27836392/in-reply
#15
LETTER
M Van de Velde, B Carvalho
No abstract text is available yet for this article.
December 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/27816269/the-role-of-carbetocin-in-the-prevention-and-management-of-postpartum-haemorrhage
#16
REVIEW
L S Meshykhi, M R Nel, D N Lucas
Carbetocin is a new synthetic analogue of oxytocin. It has a longer half life than oxytocin. This review examines the current evidence for the use of carbetocin as an alternative to oxytocin, as a first-line agent in the pharmacological management of the third stage of labour.
December 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/27726918/anaesthetic-management-of-parturients-with-univentricular-congenital-heart-disease-and-the-fontan-operation
#17
R S Monteiro, D P Dob, M R Cauldwell, M A Gatzoulis
Women with a single ventricle circulation palliated with the Fontan operation require specialist multidisciplinary management. We report 14 such cases with successful pregnancies and detail the pathophysiology encountered. A combined obstetric and cardiac service between Chelsea and Westminster Hospital and Royal Brompton Hospital provides care for women with heart disease, and maintains a prospective database of referred women. We searched this database for women with a known Fontan circulation and reviewed the case notes and electronic patient records between January 1994 and December 2015...
December 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/27720616/vertebral-spread-of-epidural-boluses-with-different-pump-flow-rates-in-a-porcine-model
#18
LETTER
M Oliver, S Strowbridge, R Mistry, E Romagnoli, V Skelton
No abstract text is available yet for this article.
December 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/27720615/opioids-should-be-given-before-cord-clamping-for-caesarean-delivery-under-general-anaesthesia
#19
S Patel, R Fernando
No abstract text is available yet for this article.
December 2016: International Journal of Obstetric Anesthesia
https://www.readbyqxmd.com/read/27720614/stimulation-of-contractions-in-pregnant-human-myometrium-is-associated-with-5-ht3-receptors
#20
H Li, M Diao, J Ni, P Li, Q Zhu, Y L Wan, Y S Ma, X M Lin
BACKGROUND: Serotonin (5-HT) is known to play an important role in regulating uterine contractions. However, the specific receptors involved have not been well characterized. We evaluated whether 5-HT3 receptors exist in human myometrium, and their effects on myometrial contractility when stimulated by a 5-HT3 agonist. METHODS: Four tissue samples taken from patients undergoing hysterectomy (n=2) and elective cesarean delivery (n=2) were used to detect expression of 5-HT3 receptors on the myometrium using western blotting...
December 2016: International Journal of Obstetric Anesthesia
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