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Caesarean anesthesia management

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https://www.readbyqxmd.com/read/27906937/transversus-abdominis-plane-block-in-the-management-of-acute-postoperative-pain-syndrome-after-caesarean-section-a-randomized-controlled-clinical-trial
#1
Pierfrancesco Fusco, Vincenza Cofini, Emiliano Petrucci, Paolo Scimia, Tullio Pozone, Giuseppe Paladini, Gaspare Carta, Stefano Necozione, Battista Borghi, Franco Marinangeli
BACKGROUND: The international literature is unclear regarding the analgesic efficacy of the transversus abdominis plane block (TAPB) after a Caesarean section (CS). OBJECTIVES: The aim of this study was to determine whether a correctly performed ultrasound-guided TAPB (USG-TAPB) could provide better control of acute postoperative pain during the first 72 hours after CS and if it could provide a faster postoperative recovery. STUDY DESIGN: A double-blind, randomized, controlled clinical trial on pregnant women who underwent CS...
November 2016: Pain Physician
https://www.readbyqxmd.com/read/27843682/large-spontaneous-spinal-subdural-epidural-hematoma-after-epidural-anesthesia-for-caesarean-section-conservative-management-with-excellent-outcome
#2
Ioannis D Siasios, Kunal Vakharia, Kevin J Gibbons, Vassilios G Dimopoulos
BACKGROUND: Iatrogenic or spontaneous spinal hematomas are rarely seen and present with multiple symptoms that can be difficult to localize. Most spontaneous spinal hematomas are multifactorial, and the pathophysiology is varied. Here, we present a case of a scattered, multicomponent, combined subdural and epidural spinal hematoma that was managed conservatively. CASE DESCRIPTION: A 38-year-old woman came to the emergency department (ED) complaining of severe neck and back pain...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/27605955/a-randomised-controlled-trial-comparing-weight-adjusted-dose-versus-fixed-dose-prophylactic-phenylephrine-infusion-on-maintaining-systolic-blood-pressure-during-caesarean-section-under-spinal-anaesthesia
#3
Lucy Mwaura, Vitalis Mung'ayi, Jimmie Kabugi, Samina Mir
BACKGROUND: Spinal anaesthesia is the standard of care for elective caesarean delivery. It has advantages over general anaesthesia. However the sympathetic blockade induced by spinal anaesthesia results in an 80 percent incidence of hypotension without prophylactic management. Current evidence supports co-loading with intravenous fluids in conjunction with the use of vasopressors as the most effective way to prevent and treat the hypotension. Phenylephrine is the accepted vasopressor of choice in the parturient...
June 2016: African Health Sciences
https://www.readbyqxmd.com/read/27538164/-anesthesia-management-of-caesarean-section-for-pregnant-women-complicated-with-takayasu-s-arteritis
#4
J Sun, H Zeng, Y Q Wang, Y Y Zhao
Takayasu's arteritis is a rare, idiopathic, chronic inflammatory disease. Its course is unpredictable, but slow progression is usual, leading to stenosis, occlusion, or aneurismal degeneration of the aorta or its major branches. We present the anesthesia management of pregnancy in four women admitted to Peking University Third Hospital for caesarean section from year 2006 to 2015 complicated with Takayasu's arteritis and review this disease with special reference to natural history, diagnostic criteria, classification, prognostic factors, and anesthesia considerations...
February 18, 2016: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/27275330/maternal-and-neonatal-effects-of-vasopressors-used-for-treating-hypotension-after-spinal-anesthesia-for-caesarean-section-a-randomized-controlled-study
#5
Alma Soxhuku-Isufi, Vjollca Shpata, Hektor Sula
AIM: The aim of the study was to examine whether ephedrine and phenylephrine were different in their efficacy for managing maternal hypotension and their effect of adverse maternal and neonatal outcome. METHODS: A double-blind randomized controlled study in healthy pregnant women ASA physical status 2, which underwent elective caesarian delivery under spinal anesthesia. Patients were randomized to receive an intravenous bolus of either phenylephrine (Ph group) or ephedrine (E group) immediately after the episode of hypotension after spinal anesthesia...
March 15, 2016: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/27212776/recurarization-in-a-successfully-managed-case-of-posterior-reversible-encephalopathy-syndrome-pres-for-emergency-caesarean-section
#6
Suchita Parikh, Snehlata Tavri, Shubha Mohite
Posterior reversible encephalopathy syndrome (PRES) is a clinicoradiologic syndrome of headache, visual changes, altered mental status and seizures with radiologic findings of posterior cerebral white matter edema. It is seen in hypertensive encephalopathy, renal failure, and autoimmune disorders or in patients on immunosuppressants. We report a case of 24-year-old primigravida who presented at term with sudden onset hypertension, neurological deficits, and an episode of the visual blackout. Magnetic resonance imaging showed features suggestive of PRES...
May 2016: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/27132425/ganglioneuroblastoma-during-pregnancy-a-rare-case-report
#7
M A Moga, A Daniilidis, N F Bigiu, C Andrei, K Dinas, D G Festila
PURPOSE: To report a rare case of ganglioneuroblastoma encountered rarely in adults, especially during pregnancy. Materials and METHODS: The authors present a case of ganglioneuroblastoma relapse during the third trimester of pregnancy in a patient previously treated for ganglioneuroblastoma who had a eight-year disease-free interval. Late manifestation of neurological symptoms (vestibular syndrome, nystagmus, slightly right motor deficit) was perhaps influenced by the hormonal pregnancy effects...
2016: Clinical and Experimental Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27130218/inverted-stress-induced-cardiomyopathy-as-a-unusual-variant-of-acute-heart-failure-after-cesarean-delivery-a-case-report
#8
Anna Ledakowicz-Polak, Jarosław Bartodziej, Agata Majos, Marzenna Zielińska
BACKGROUND: Stress- induced cardiomyopathy is acute, reversible left ventricle mainly apical dysfunction in patients with normal coronary angiography. Rarely it regards basal segments, therefore defined as "inverted stress- induced cardiomyopathy". While classic form mostly affects postmenopausal women, inverted variant occurs essentially in younger females, always triggered by stress. It can also develop after medical procedures and surgery. Herein we report such unique case of 36- year old woman after cesarean delivery...
2016: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/27000516/a-systematic-review-of-the-risks-factors-associated-with-the-onset-and-natural-progression-of-hydrocephalus
#9
Stephanie Walsh, Jennifer Donnan, Andrea Morrissey, Lindsey Sikora, Sonya Bowen, Kayla Collins, Don MacDonald
The purpose of this study was to systematically assess and synthesize the world literature on risk factors for the onset and natural progression of hydrocephalus, thereby providing a basis for policy makers to identify appropriate risk management measures to mitigate the burden of disease in Canada. Evidence for risk factors was limited for both onset and progression. Two meta-analyses that examined a risk factor for onset met the inclusion criteria. One found a significant protective effect of prenatal vitamins among case control studies, but not cohort/randomized controlled trials (RCTs)...
March 18, 2016: Neurotoxicology
https://www.readbyqxmd.com/read/26978591/anesthesia-for-pregnant-women-with-pulmonary-hypertension
#10
Steffen Rex, Sarah Devroe
PURPOSE OF REVIEW: Purpose of review is to summarize and highlight recent advances in the management of pregnant patients with pulmonary hypertension. RECENT FINDINGS: Despite recent advances in the therapy of pulmonary hypertension, prognosis for pregnant patients with pulmonary hypertension remains poor with high maternal mortality. Pregnancy is still considered contraindicated in these patients. If pregnancy occurs, referral to a tertiary hospital and a multidisciplinary approach ensure the best possible outcome...
June 2016: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/26963470/the-use-of-remifentanil-during-general-anesthesia-for-caesarean-section
#11
Marc Van de Velde
PURPOSE OF REVIEW: The purpose is to review the neonatal and maternal effects of remifentanil given at induction of general anesthesia for caesarean section and prior to delivery of the baby. MAIN FINDINGS: Remifentanil seems to have short-lived respiratory depressant effects in approximately 50% of neonates, requiring short periods of mask ventilation or tactile stimulation of the neonate. Remifentanil produces excellent maternal hemodynamic stability avoiding tachycardia and hypertension, possibly reducing the risk of maternal awareness...
June 2016: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/26839696/pregnancy-with-hypoplastic-left-lung-complicated-by-pneumothorax-and-pulmonary-embolism
#12
Lily D Zainudin, Muhammad I Abdul Hafidz, Ahmad F Zakaria, Mohd A Mohd Zim, Ahmad I Ismail, Mohammed F Abdul Rani
We report a case of a 34-year-old lady with past history of asthma and pulmonary tuberculosis, who presented 5 weeks pregnant with acute dyspnea. Her chest X-ray showed left-sided complete lung collapse and concomitant right-sided pneumothorax. The pneumothorax was initially managed conservatively with a chest tube but due to its persistence despite suction, was subsequently changed to a Pneumostat(TM), with which she was later discharged. She had a normal echocardiography (ejection fraction [EF] 67%) at 5 weeks of gestation but developed pulmonary hypertension (EF 55%, pulmonary arterial pressure 40...
March 2016: Respirology Case Reports
https://www.readbyqxmd.com/read/26527019/-post-partum-management-after-cesarean-delivery-guidelines-for-clinical-practice
#13
REVIEW
F Fuchs, D Benhamou
OBJECTIVE: To determine guidelines for post-partum management after cesarean delivery regarding patient monitoring, organization, postoperative analgesia, time of urinary catheter removal, resumption of feeding and drinking, timing of ambulation, indication and modalities of thromboprophylaxis. METHODS: The PubMed database, the Cochrane Library and the recommendations from the French and foreign obstetrical societies or colleges have been consulted. RESULTS: Immediate postoperative monitoring after caesarean delivery should be performed in the recovery room, but in exceptional circumstances, it may be performed in the delivery unit provided safety rules are maintained and regulatory authorities are informed (professional consensus)...
December 2015: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/26147408/-case-report-patient-with-needle-phobia-for-caesarean-section-not-quite-as-in-a-textbook-%C3%A2
#14
Thomas Hillermann, Chantal Breitenstein, Cristina Soll
In a 20-year old parturient general anesthesia is induced by inhalation and without venous access because of severe needle phobia. This article discusses risks associated with inhalational induction of anesthesia in this special situation. It deals with needle phobia, an anxiety disorder belonging to the group of blood-injury-injection phobia. This psychic illness can cause severe problems for the anaesthetic management in acute or in elective situations.
June 2015: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/25915203/the-role-of-cardiac-output-monitoring-in-obstetric-anesthesia
#15
REVIEW
Eldrid Langesæter, Matthew Gibbs, Robert A Dyer
PURPOSE OF REVIEW: Haemodynamic monitoring in obstetric patients has evolved during the last decade, with the development of minimally invasive and noninvasive continuous cardiac output (CO) monitors. This review focuses on recent articles that improve our understanding of physiology and haemodynamic changes during spinal anaesthesia in healthy pregnant women, and pathophysiology in women with preeclampsia and other cardiovascular disease. RECENT FINDINGS: Recent research findings in healthy women focus on the haemodynamic changes due to aortocaval compression, fluid administration, vasopressor therapy, and oxytocin during spinal anaesthesia for caesarean delivery...
June 2015: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/25875413/a-comparative-study-of-a-combination-of-paracetamol-infusion-perfalgan-and-intramuscular-diclofenac-versus-intravenous-pethidine-in-the-management-of-post-caesarean-pain
#16
H O Idehen, N P Edowmonyi, C A Imarengiaye, M O Kute
AIM AND OBJECTIVE: There is growing increase in the rate of caesarean section delivery. Opioid analgesic use, one of the corner stone options is limited by the development of adverse effects. This study evaluated the efficacy of a multimodal method of pain management with or without opioid analgesic. PATIENTS AND METHOD: Sixty four pregnant women scheduled for elective caesarean section under spinal anesthesia, were randomized to two groups of 32 subjects each. Group PD received 1gm of intravenous paracetamol infusion and 75mg of intramuscular diclofenac while group P received 50mg of IV pethidine at the end of surgery...
March 2015: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/25821464/survey-of-accepted-practice-following-failed-intubation-for-emergency-caesarean-delivery
#17
Daniel Soltanifar, David Bogod, Sally Harrison, Brendan Carvalho, Pervez Sultan
Background. There is no consensus on the optimum management of failed tracheal intubation in emergency cesarean delivery performed for fetal compromise. The decision making process on whether to wake the patient or continue anesthesia with a supraglottic airway device is an underexplored area. This survey explores perceptions and experiences of obstetric anesthetists managing failed intubation. Methods. Anesthetists attending the Group of Obstetric Anaesthetists London (GOAL) Meeting in April 2014 were surveyed...
2015: Anesthesiology Research and Practice
https://www.readbyqxmd.com/read/25748118/-perioperative-management-of-a-morbidly-obese-pregnant-patient-undergoing-cesarean-section-under-general-anesthesia-case-report
#18
Márcio Luiz Benevides, Verônica Cristina Moraes Brandão, Jacqueline Ivonne Arenas Lovera
BACKGROUND AND OBJECTIVES: The increased prevalence of obesity in the general population extends to women of reproductive age. The aim of this study is to report the perioperative management of a morbidly obese pregnant woman, body mass index > 50 kg/m(2), who underwent cesarean section under general anesthesia. CASE REPORT: Pregnant woman in labor, 35 years of age, body mass index 59.8 kg/m(2). Caesarean section was indicated due to the presumed fetal macrosomia...
July 2016: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/25708495/re-laparotomy-following-cesarean-delivery-risk-factors-and-outcomes
#19
Lorinne Levitt, Hana Sapir, Doron Kabiri, Eliana Ein-Mor, Drorith Hochner-Celnikier, Hagai Amsalem
INTRODUCTION: Re-laparotomy following caesarean delivery (CD) is a rare yet serious complication. The aim of this study was to identify risk factors, diagnostic features and outcomes following re-laparotomy. MATERIALS AND METHODS: This retrospective cohort study reviewed cases of re-laparotomy following CD performed at Hadassah-Hebrew University Medical Center. Occurrences were identified via the electronic medical record database. RESULTS: During the study period, 17,213 women underwent CD, of which 55 (0...
2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/25518423/-management-for-pregnancy-and-delivery-in-patients-with-a-history-of-kawasaki-disease
#20
Etsuko Tsuda
We report the results of pregnancy and delivery in patients with coronary artery lesions caused by Kawasaki disease. The mode of delivery should be primarily determined by obstetrical considerations, rather than the coronary arterial lesions caused by Kawasaki disease. An assisted second stage of labor using epidural anesthesia is recommended in patients with a low left ventricular ejection fraction and significant localized stenosis of a coronary artery. However, if the patients are symptomatic or they have ischemic sign, Caesarean section should be recommended based on their general condition...
September 2014: Nihon Rinsho. Japanese Journal of Clinical Medicine
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