keyword
https://read.qxmd.com/read/38373816/evidence-based-clinical-practice-guidelines-on-postdural-puncture-headache-infographics
#21
JOURNAL ARTICLE
Vishal Uppal, Robin Russell, Hari Kalagara, Lisa Leffert, Samer Narouze
No abstract text is available yet for this article.
February 19, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38363267/improving-postanesthesia-care-unit-pacu-delays-a-quality-improvement-project
#22
JOURNAL ARTICLE
Mohammed Heyba, Fatemah Qasem, Abdelrady S Ibrahim, Tharwat Habib, Hisham Akl, Shaikha M Al-Matouq
PURPOSE: Delays within the postanesthesia care unit (PACU) are a major cause of complications and inefficiency. In this project, we investigated the factors associated with delays in the PACU and implemented policies to mitigate these factors. DESIGN: A quality improvement project. METHODS: Data were collected for 10 months and included 1,134 surgical patients in a tertiary Obstetrics and Gynecology hospital in Kuwait. Several meetings were held with stakeholders to identify and overcome the reasons contributing to delays within the PACU...
February 14, 2024: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/38360406/preparedness-for-severe-maternal-morbidity-in-european-hospitals-the-macricare-study
#23
JOURNAL ARTICLE
Paweł Krawczyk, Dominika Dabrowska, Emilia Guasch, Henrik Jörnvall, Nuala Lucas, Frédéric J Mercier, Alexandra Schyns-van den Berg, Carolyn F Weiniger, Łukasz Balcerzak, Steve Cantellow
PURPOSE: To evaluate obstetric units (OUs) and intensive care units (ICUs) preparedness for severe maternal morbidity (SMM). METHODS: From September 2021 to January 2022, an international multicentre cross-sectional study surveyed OUs in 26 WHO Europe Region countries. We assessed modified early obstetric warning score usage (MEOWS), approaches to four SMM clinical scenarios, invasive monitoring availability in OUs, and access to high-dependency units (HDUs) and onsite ICUs...
February 13, 2024: Anaesthesia, Critical Care & Pain Medicine
https://read.qxmd.com/read/38354774/neuraxial-anaesthesia-in-patients-with-cerebrospinal-fluid-shunts-a-descriptive-review
#24
REVIEW
P García Casas, M Echevarría Moreno
Neuraxial anesthesia in patients with cerebrospinal fluid (CSF) shunt devices has traditionally been associated with a high risk of complications. In order to gather all available evidence, a structured search was conducted to include published studies involving users of these devices, undergoing any form of neuraxial technique for obstetric or surgical procedures unrelated to them. Effectiveness of the technique and perioperative complications were assessed. Only case series and case reports (n = 72) were identified...
February 12, 2024: Revista española de anestesiología y reanimación
https://read.qxmd.com/read/38346645/abdominal-surgery-under-ketamine-anesthesia-during-second-trimester-impairs-hippocampal-learning-and-memory-of-offspring-by-regulating-dendrite-spine-remodeling-in-rats
#25
JOURNAL ARTICLE
Mengdie Wang, Namin Feng, Jia Qin, Shengqiang Wang, Jiabao Chen, Shaojie Qian, Yulin Liu, Foquan Luo
Recent evidence showed that general anesthesia produces long-term neurotoxicity and cognitive dysfunction. However, it remains unclear whether maternal non-obstetric surgery under ketamine anesthesia during second trimester causes cognitive impairment in offspring. The present study assigned pregnant rats into three groups: 1) normal control group receiving no anesthesia and no surgery, 2) ketamine group receiving ketamine anesthesia for 2h on the 14th day of gestation but no surgery, and 3) surgery group receiving abdominal surgery under ketamine anesthesia on the 14th day of gestation...
February 10, 2024: Neurotoxicology
https://read.qxmd.com/read/38342306/subcutaneous-versus-intravenous-fentanyl-for-labor-pain-management-a-multicenter-randomized-controlled-trial
#26
JOURNAL ARTICLE
Chatuporn Duangkum, Prapassara Sirikarn, Kiattisak Kongwattanakul, Jen Sothornwit, Sukanya Chaiyarah, Piyamas Saksiriwuttho, Monsicha Somjit, Rattana Komwilaisak, Suppasiri Hayagangchart, Pisake Lumbiganon
BACKGROUND: Labor pain is the most intense pain experienced in woman's life. Epidural anesthesia is recommended as the most effective method for pain relief, but it has several limitations. Fentanyl is a high analgesic potency with short-acting duration, but the large-scale trials assessing the effectiveness and safety in labor pain management are still limited. OBJECTIVES: To compare the effectiveness and harm as well as maternal satisfaction of subcutaneous (S...
February 9, 2024: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/38325304/exploring-neonatal-health-disparities-depended-on-type-of-anesthesia-a-narrative-review
#27
JOURNAL ARTICLE
V Ivano
As the scientific understanding of the intricate relationship between maternal analgesia and neonatal neurological outcomes continues to evolve, it becomes imperative to explore strategies aimed at optimizing this critical facet of obstetric care. This narrative review seeks to critically examine and synthesize existing literature on strategies for improving labor analgesia with a primary focus on their implications for neonatal neurological health. English studies from various databases were included, using keywords such as "childbirth analgesia", "labor pain management", "obstetric analgesia", and "neonatal outcomes", combined with "neonatal neurology" and "neonatal outcomes"...
December 2023: Georgian Medical News
https://read.qxmd.com/read/38321827/point-of-care-ultrasound-in-critical-care-obstetrics-a-scoping-review-of-the-current-evidence
#28
JOURNAL ARTICLE
Juliana G Martins, Jerri Waller, Rebecca Horgan, Tetsuya Kawakita, Camille Kanaan, Alfred Abuhamad, George Saade
OBJECTIVES: To synthesize the current evidence of maternal point-of-care ultrasound (POCUS) in obstetrics. A scoping review was conducted using PubMed, Clinicaltrials.gov, and the Cochrane library from inception through October 2023. METHODS: Studies were eligible for inclusion if they described the use of POCUS among obstetric or postpartum patients. Two authors independently screened all abstracts. Quantitative, qualitative, and mixed-methods studies were eligible for inclusion...
February 6, 2024: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/38321802/global-pediatric-anesthesia-anglophone-west-africa-perspective
#29
REVIEW
Ibironke Desalu, Pokua Sarpong, Maryrose O Osazuwa, Raymond Ndikontar Kwinji, Aramide Folayemi Faponle, Musa Kallamu Suleiman, Junette Metogo Mbengono Epse Njoki, Iniabasi Ilori, Olayinka R Eyelade, Anastasia Abena Ohene, Audrey Anno, William Addison
BACKGROUND: This article gives the pediatric anesthesia perspective from Cameroon, Nigeria, Ghana, Liberia, and Gambia, five out of six countries in Anglophone West Africa. Over 40% of the population of most of these countries are younger than 14 years and there is an increasing need for paediatric anesthesia services. FINDINGS: Workforce density ranges from 0.08 to 0.58 physician anesthesia providers per 100,000 population. There are only 13 trained pediatric anesthetists; ratios range from 0 to 0...
February 6, 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38321405/effect-of-ropivacaine-mepivacaine-or-the-combination-of-ropivacaine-and-mepivacaine-for-epidural-anaesthesia-on-the-postoperative-recovery-in-patients-undergoing-caesarean-section-a-randomized-prospective-double-blind-study
#30
RANDOMIZED CONTROLLED TRIAL
Muye Wang, Chen Liao, Xiaocui Li, Weiming Chen, Yujie Li, Wei Zhang, Shouping Wang
BACKGROUND: Anaesthetic methods and drugs with rapid onset, rapid recovery and better postoperative analgesia are more suitable for rapid recovery in obstetric anaesthesia. We formulated the following hypothesis: a combination of mepivacaine and ropivacaine could provide a longer analgesic effect and have more advantages in terms of rapid-recovery indicators. METHODS: A total of 180 pregnant women scheduled to undergo elective caesarean sections were randomly assigned to three surgical groups, which received 2% mepivacaine (Group M), 2% mepivacaine + 0...
February 7, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38316256/-influence-of-water-immersion-on-the-use-of-epidural-anesthesia-during-labor
#31
JOURNAL ARTICLE
Nesrine Kacha, Gwendoline Dorel, Paul Frappé, Céline Chauleur, Tiphaine Raia-Barjat
OBJECTIVE: immersion in water during labor could reduce pain and use of epidural anesthesia during childbirth. The main objective of this study was to evaluate the influence of immersion in water during labor on the use of epidural anesthesia in a midwife care setting. METHODS: We conducted a single-center retrospective study of all women who gave birth in the physiological ward of Saint-Etienne University Hospital between October 2020 and December 2022. RESULTS: The study did not find difference between immersion group and control group concerning the use of epidural anesthesia (p = 0...
February 3, 2024: Gynecologie, Obstetrique, Fertilite & Senologie
https://read.qxmd.com/read/38313716/intracranial-hypotension-with-subdural-hematoma-after-spinal-anesthesia-in-obstetric-patient-a-rare-but-fatal-complication
#32
Sujit J Kshirsagar, Anandkumar H Pande, Sanyogita V Naik, Neha M Kamble
Intracranial bleed in the form of subdural hematoma (SDH) with intracranial hypotension after spinal anesthesia for cesarean section is a rare condition with an incidence of around 1 in 5,00,000 obstetric populations. As its presentation is similar to post-dural puncture headache (PDPH), it can be misdiagnosed sometimes. Persistent headache for more than 5 days, vomiting, blurring of vision, and convulsion can guide the diagnosis of intracranial bleed. Magnetic resonance imaging (MRI) helps to diagnose the location, size, and other abnormalities of bleed in such patients...
2024: Saudi Journal of Anaesthesia
https://read.qxmd.com/read/38313703/simulating-high-fidelity-emergency-front-of-neck-access-training-in-an-obstetric-setting
#33
JOURNAL ARTICLE
Ben Povey, Vinod Patil
No abstract text is available yet for this article.
2024: Saudi Journal of Anaesthesia
https://read.qxmd.com/read/38304603/changes-in-gender-and-racial-ethnic-diversity-in-us-residency-program-applications-from-2018-to-2022
#34
JOURNAL ARTICLE
Laura A Huppert, Lekshmi Santhosh, Sarah Alba-Nguyen, Cindy J Lai, Jennifer M Babik
Background Residency application patterns by gender and race/ethnicity offer important insights about diversity in residency recruitment. It is unknown how the COVID-19 pandemic and virtual interviewing affected these patterns. Objective We hypothesized that the introduction of virtual interviews caused an increase in applications submitted per applicant and that there may be differences by gender and race/ethnicity. Methods We extracted publicly reported Electronic Residency Application Service application data from 2018 to 2022 for 14 residency specialties with 1000 or more applicants in 2022 by self-reported gender and underrepresented in medicine (UIM) status...
February 2024: Journal of Graduate Medical Education
https://read.qxmd.com/read/38300736/non-pharmacological-treatments-for-shivering-post-neuraxial-anaesthesia-for-caesarean-section-a-scoping-review
#35
REVIEW
Karen Neaton, Lucie Voldanova, Tracey Kiely, Cate Nagle
BACKGROUND: Shivering occurs more frequently for women having caesarean section under neuraxial anaesthesia compared to other patient groups and causes an increase in pain and interrupts bonding with her newborn. AIM: This study aimed to report the evidence on non-pharmacological methods to treat shivering, defined as uncontrollable shaking, because of being cold, frightened, or excited, post neuraxial anaesthesia; the use of local anaesthesia inserted around the nerves of the central nervous system such as spinal anaesthesia and epidural in women having a caesarean section...
February 1, 2024: Contemporary Nurse
https://read.qxmd.com/read/38298284/anesthetic-management-of-cesarean-section-in-the-case-of-a-sextuplet-pregnancy-and-polycystic-ovarian-syndrome
#36
Abduljaleel Ethy Ahammedunni, Nadine Borhan Mahmoud Nour, Muhammad Sharif Allah Dad
Cesarean section in a mother with a sextuplet pregnancy is challenging for an anesthesiologist. Several perioperative complications are likely because of the overdistended uterus and associated changes in the mother. We are reporting the case of a woman with a sextuplet pregnancy who came for an emergency cesarean. She also had a background history of polycystic ovarian syndrome (PCOS) and ovulation induction for conception. Early pregnancy was complicated by ovarian hyperstimulation syndrome. She required cervical cerclage in early pregnancy...
January 2024: Curēus
https://read.qxmd.com/read/38294948/high-neuraxial-block-in-obstetrics-a-2-5-year-nationwide-surveillance-approach-in-the-netherlands
#37
JOURNAL ARTICLE
Ingrid C M Beenakkers, Timme P Schaap, Oscar F C van den Bosch
BACKGROUND: High neuraxial block is a rare but serious adverse event in obstetric anesthesia that can ultimately lead to respiratory insufficiency and cardiac arrest. Previous reports on its incidence are limited to populations in the United Kingdom and the United States. Little is known about the incidence and clinical features of high neuraxial block in the Netherlands, where the presence of anesthesiologists in the labor and delivery unit is comparatively lower. We aimed to assess the incidence and clinical features of high neuraxial block in obstetrics and to formulate ways to improve obstetric anesthesia on a national level...
January 31, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38287235/successfully-conservative-management-of-the-uterus-in-acute-pulmonary-embolism-during-cesarean-section-for-placenta-previa-a-case-report-from%C3%A2-tu-du-hospital-vietnam-and-literature-review
#38
JOURNAL ARTICLE
Anh Dinh Bao Vuong, Thanh Hai Pham, Van Hoang Bui, Xuan Trang Nguyen, Ngoc Bich Trinh, Yen Oanh Ngoc Nguyen, Dang Khoa Tran Le, Phuc Nhon Nguyen
BACKGROUND: Cardiopulmonary collapse is a catastrophic event in cesarean section, which leads to adverse outcomes for both the mother and the fetus. Pulmonary embolism is one of the rare etiologies of this entity. We herein reported the successful management of acute embolism pulmonary associated with cesarean delivery on a healthy pregnant woman at our tertiary referral hospital. CASE PRESENTATION: A full-term pregnant woman hospitalized for planned cesarean delivery due to placenta previa without cardiorespiratory diseases...
January 29, 2024: International Journal of Emergency Medicine
https://read.qxmd.com/read/38278590/anesthesia-liability-related-to-pre-existing-conditions
#39
REVIEW
Alan D Kaye, Sonnah Barrie, Rucha A Kelkar, Sahar Shekoohi
In 1985, the American Society of Anesthesiologists initiated a quality improvement closed claims analysis project for anesthetic injury to elevate patient safety. To date, there have been a total of 8954 documented claims, describing injuries contracted under sedation, regional anesthesia, or failure to attend to a patient's post-operative needs. The Closed Claims database reveals that the most highly documented health care complications were a loss of life at 2%, nerve injuries at 2%, and damage to the brain at 9%...
March 2024: Anesthesiology Clinics
https://read.qxmd.com/read/38278356/incidence-and-clinical-impact-of-aspiration-during-cesarean-delivery-a-multi-center-retrospective-study
#40
JOURNAL ARTICLE
Yair Binyamin, Sharon Orbach-Zinger, Alexander Ioscovich, Yair Yaish Reina, Yoav Bichovsky, Igor Gruzman, Alexander Zlotnik, Evgeny Brotfain
BACKGROUND: The risk of aspiration during general anesthesia for cesarean delivery has long been thought to be increased due to factors such as increased intra-abdominal pressures and delayed gastric emptying in pregnant patients. However, recent studies have reported normal gastric emptying in pregnant patients, suggesting that the risk of aspiration may not be as high as previously believed. METHODS: We conducted a retrospective study of 48,609 cesarean deliveries, of which 22,690 (46...
January 24, 2024: Anaesthesia, Critical Care & Pain Medicine
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