keyword
https://read.qxmd.com/read/38439945/investigating-factors-associated-with-the-development-of-postnatal-depression-after-cesarean-delivery-a-validation-cohort-study
#21
JOURNAL ARTICLE
Daryl Jian An Tan, Rehena Sultana, Sheryl Yu Xuan Chow, Chin Wen Tan, Hon Sen Tan, Helen Yu Chen, Tze-Ern Chua, Ban Leong Sng
PURPOSE: This study aimed to validate a proposed association model previously published to determine the clinical relevance of pre-operative determinants in the development of PND after Cesarean delivery (CD). PATIENTS AND METHODS: Parturients undergoing elective CD under neuraxial anesthesia were recruited for a prospective cohort study between Oct 2021 and Oct 2022 at KK Women's and Children's Hospital, Singapore. Predelivery pain, psychological and mechanical temporal summation, and demographic data were recorded...
2024: Neuropsychiatric Disease and Treatment
https://read.qxmd.com/read/38423450/new-labor-curves-of-dilation-and-station-to-improve-the-accuracy-of-predicting-labor-progress
#22
JOURNAL ARTICLE
Emily F Hamilton, Tilekbek Zhoroev, Philip A Warrick, Adi L Tarca, Thomas J Garite, Aaron B Caughey, Jason Melillo, Mona Prasad, Duncan Neilson, Peter Singson, Kimberlee Mckay, Roberto Romero
BACKGROUND: The diagnosis of failure to progress, the most common indication for intrapartum cesarean delivery, is based on the assessment of cervical dilation and station over time. Labor curves serve as references of expected changes in dilation and fetal descent. The labor curves of Friedman, Zhang et al and others are based on time alone and derived from mothers with spontaneous labor onset. However, labor induction is now common, and clinicians also consider other factors when assessing labor progress...
February 27, 2024: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/38390920/the-importance-of-simulation-based-multi-professional-training-in-obstetric-anesthesia-an-update
#23
JOURNAL ARTICLE
Jordan Abrams, Bryan Mahoney
PURPOSE OF REVIEW: Simulation-based training remains an integral component of medical education by providing a well tolerated, controlled, and replicable environment for healthcare professionals to enhance their skills and improve patient outcomes. Simulation technology applied to obstetric anesthesiology continues to evolve as a valuable tool for the training and assessment of the multidisciplinary obstetric care team. RECENT FINDINGS: Simulation-based technology has continued to play a role in training and assessment, including recent work on interdisciplinary communication, recognition, and management of obstetric hemorrhage, and support in the low or strained resource setting...
January 24, 2024: Current Opinion in Anaesthesiology
https://read.qxmd.com/read/38387241/kidney-disease-in-trials-of-perioperative-tranexamic-acid
#24
REVIEW
Cheng-Wei Liu, Joshua Anih, Victoria Lebedeva, Ata Gungor, Carol Wang, Lily Park, Pavel S Roshanov
STUDY OBJECTIVE: To assess how kidney disease is handled in randomized trials evaluating the safety and efficacy of perioperative tranexamic acid, and to evaluate its effects across levels of kidney function. DESIGN: Systematic review and meta-analysis of randomized controlled trials. SETTING: We screened studies from a previous comprehensive systematic review, and updated its search of PubMed, Embase, and Cochrane CENTRAL to July 31, 2023...
February 21, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38381657/quality-of-recovery-after-unplanned-and-planned-cesarean-deliveries-a-prospective-observational-study-using-the-obstetric-quality-of-recovery-10-tool
#25
JOURNAL ARTICLE
Juan F Morales, Andrea Gomez, Jose Carvalho, Xiang Y Ye, Kristi Downey, Naveed Siddiqui
BACKGROUND: There is a paucity of literature examining the differences between patient-reported outcome measures after planned and unplanned cesarean delivery using a validated quality of recovery tool. The Obstetric Quality of Recovery-10 (ObsQoR-10) scoring tool has been validated to quantify functional recovery after cesarean delivery. We aimed to use the ObsQoR-10 to compare the postoperative recovery characteristics of patients undergoing planned and unplanned cesarean deliveries...
February 21, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38375113/effect-of-lite-touch-on-the-anxiety-of-low-risk-pregnant-women-in-the-latent-phase-of-childbirth-a-randomized-controlled-trial
#26
JOURNAL ARTICLE
Wenqian Yang, Yonghong Wang, Chingyuan Ko, Xiaoyu Niu, Yan Huang, Biru Luo, Guoyu Wang, Jingjing He, Huafeng Li
INTRODUCTION: Women with perinatal anxiety have reduced coping capacity during labor, which affects labor progress and increases the likelihood of a cesarean section. Several non-pharmacological interventions for anxiety during childbirth are available. This study used the "lite touch" method, a non-pharmacological intervention based on physiological responses and obstetric clinical experience in women. We aimed to evaluate whether lite touch could relieve perinatal anxiety and investigate the effect of light skin stroking on the maternal hormones, catecholamine, and cortisol...
2024: Frontiers in Psychology
https://read.qxmd.com/read/38373816/evidence-based-clinical-practice-guidelines-on-postdural-puncture-headache-infographics
#27
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
#28
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
#29
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
#30
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
#31
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
#32
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
#33
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
#34
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
#35
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
#36
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
#37
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
#38
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
#39
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
#40
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
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