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Obstetric anaesthesiology

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https://www.readbyqxmd.com/read/27631446/-the-new-german-guideline-on-postpartum-haemorrhage-pph-essential-aspects-for-coagulation-and-circulatory-therapy
#1
Heiko Lier, Dietmar Schlembach, Wolfgang Korte, Christian von Heymann, Susanne Steppat, Maritta Kühnert, Holger Maul, Wolfgang Henrich, Werner Rath, Jürgen Wacker, Franz Kainer, Daniel Surbek, Hanns Helmer
Worldwide, post-partum haemorrhage (PHH) remains one of the leading causes for maternal mortality. The German Society of Gynaecology and Obstetrics, the German Midwifes' Society, the German Society of Thrombosis and Haemostasis and the German Society of Anaesthesiology and Intensive Care updated the former guideline. The resulting recommendations are the results of a structured literature search and a formal consensus process and contain all aspects of PPH including diagnosis, causes, risk factors and therapy...
September 2016: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://www.readbyqxmd.com/read/26878329/participant-evaluation-of-simulation-training-using-crew-resource-management-in-a-hospital-setting-in-hong-kong
#2
Christina K W Chan, Eric H K So, George W Y Ng, Teresa W L Ma, Karen K L Chan, L Y Ho
INTRODUCTION: A simulation team-based crew resource management training programme was developed to provide a unique multidisciplinary learning experience for health care professionals in a regional hospital in Hong Kong. In this study, we evaluated how health care professionals perceive the programme. METHODS: A cross-sectional questionnaire survey was conducted in the Multidisciplinary Simulation and Skills Centre at Queen Elizabeth Hospital in Hong Kong. A total of 55 individuals in the departments of Obstetrics and Gynaecology, Anaesthesiology and Operating Theatre Services, Intensive Care Unit, and Accident and Emergency participated in the study between June 2013 and December 2013...
April 2016: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/26745995/-anesthesia-in-obstetrics-tried-and-trusted-methods-current-standards-and-new-challenges
#3
P Kranke, T Annecke, D H Bremerich, R Hanß, L Kaufner, C Klapp, H Ohnesorge, U Schwemmer, T Standl, S Weber, T Volk
Obstetric analgesia and anesthesia have some specific aspects, which in particular are directly related to pathophysiological alterations during pregnancy and also to the circumstance that two or even more individuals are always affected by complications or therapeutic measures. This review article deals with some evergreens and hot topics of obstetric anesthesia and essential new knowledge on these aspects is described. The article summarizes the talks given at the 16th symposium on obstetric anesthesia organized by the Scientific Committee for Regional Anaesthesia and Obstetric Anaesthesia within the German Society of Anaesthesiology...
January 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/26443654/simulation-based-multiprofessional-obstetric-anaesthesia-training-conducted-in-situ-versus-off-site-leads-to-similar-individual-and-team-outcomes-a-randomised-educational-trial
#4
RANDOMIZED CONTROLLED TRIAL
Jette Led Sørensen, Cees van der Vleuten, Susanne Rosthøj, Doris Østergaard, Vicki LeBlanc, Marianne Johansen, Kim Ekelund, Liis Starkopf, Jane Lindschou, Christian Gluud, Pia Weikop, Bent Ottesen
OBJECTIVE: To investigate the effect of in situ simulation (ISS) versus off-site simulation (OSS) on knowledge, patient safety attitude, stress, motivation, perceptions of simulation, team performance and organisational impact. DESIGN: Investigator-initiated single-centre randomised superiority educational trial. SETTING: Obstetrics and anaesthesiology departments, Rigshospitalet, University of Copenhagen, Denmark. PARTICIPANTS: 100 participants in teams of 10, comprising midwives, specialised midwives, auxiliary nurses, nurse anaesthetists, operating theatre nurses, and consultant doctors and trainees in obstetrics and anaesthesiology...
October 6, 2015: BMJ Open
https://www.readbyqxmd.com/read/26090050/factors-considered-by-undergraduate-medical-students-when-selecting-specialty-of-their-future-careers
#5
Awad Ali Mohamed Ahmed Alawad, Waleed Shabeer Khan, Yousif Mohammed Abdelrazig, Yamin Ibrahim Elzain, Hassan Osman Khalil, Omer Bakri Elsayed Ahmed, Omeralfaroug Ahmed Ibrahim Adam
INTRODUCTION: Medical students are the source of a country's physicians. Determining how medical students select their areas of specialization is the key to achieve a balanced distribution of doctors among all specialties. The objective is to identify the number of medical students who have decided their postgraduate specialty career, their career specialties preference, and factors that may influence their decision to select a particular specialty. METHODS: A facility based cross-sectional study was conducted in September 2013 at Faculty of Medicine, University of Medical Sciences and Technology, Khartoum, Sudan...
2015: Pan African Medical Journal
https://www.readbyqxmd.com/read/25944602/-analgesia-for-labour-in-the-czech-republic-in-the-year-2011-from-the-perspective-of-obaama-cz-study-prospective-national-survey
#6
MULTICENTER STUDY
P Štourač, J Bláha, P Nosková, R Klozová, D Seidlová, J Jarkovský, H Zelinková, Obaama-Cz Studijní Skupina
GOAL OF THE STUDY: The aim of national survey was to describe current practice for analgesia during labour provided by anaesthesiologists in the Czech Republic (CZE). TYPE OF THE STUDY: National prospective observational. SETTING: 49 obstetric departments in CZE. METHODS: We aimed to enrol all 97 obstetric departments in CZE and to monitor every case of anaesthetic care in peripartum period during November 2011. Data were recorded to Case Report Form with two parts (Demography 2010 and Case Report) into TrialDB database (Yale University, USA; adapted IBA, MU, CZE)...
March 2015: Ceská Gynekologie
https://www.readbyqxmd.com/read/25872542/the-role-of-fibrinogen-and-haemostatic-assessment-in-postpartum-haemorrhage-preparations-for-a-randomised-controlled-trial
#7
REVIEW
Anne Juul Wikkelsø
Pregnancy is a state of hypercoagulobility that might be an evolutionary way of protecting parturients from exsanguination following child birth. Observational studies suggest an association between a low level of fibrinogen (coagulation factor I) at the start of postpartum haemorrhage (PPH) and subsequent severity of bleeding. Fibrinogen concentrate may be prescribed to correct acquired hypofibrinogenaemia, but evidence is lacking regarding the treatment efficacy. This thesis assesses the current evidence for the use of fibrinogen concentrate and haemostatic assessment in bleeding patients with special attention to the obstetrical population...
April 2015: Danish Medical Journal
https://www.readbyqxmd.com/read/25641282/women-s-attachment-as-a-predictor-of-pain-during-labour-and-post-delivery-a-prospective-observational-study
#8
José Manuel Costa Martins, Carlos Fernandes da Silva, Marco Pereira, Henriqueta Martins, Célia Oliveira, Alexandra Puga, Rui Coelho, Jorge Tavares
INTRODUCTION: Labour is considered to be one of the most painful and significant experiences in a woman's life. The aim of this study was to examine whether women's attachment style is a predictor of the pain experienced throughout labour and post-delivery. MATERIAL AND METHODS: Thirty-two pregnant women were assessed during the third trimester of pregnancy and during labour. Adult attachment was assessed with the Adult Attachment Scale ' Revised. The perceived intensity of labour pain was measured using a visual analogue scale for pain in the early stage of labour, throughout labour and post-delivery...
November 2014: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/25054956/-the-inka-program-tailor-made-obstetric-analgesia
#9
REVIEW
A Pařízek
SETTING: Department of Obsterics and Gynecology 1st Faculty of Medicine, Charles University and General Faculty Hospital in Prague. OBJECTIVE: Predicting both the course of childbirth and the intensity of pain felt during childbirth is difficult, especially with first-time mothers. Some women tolerate birthing pains well, others require effective pain relief. Sometimes simple methods are enough, such as the presence of a partner, a relaxing atmosphere, massages, or walking, while other times the services of a birthing assistant or physician or even an anaesthesiologist are required...
June 2014: Ceská Gynekologie
https://www.readbyqxmd.com/read/24463478/effect-of-dexmedetomidine-combined-with-sufentanil-for-post-caesarean-section-intravenous-analgesia-a-randomised-placebo-controlled-study
#10
RANDOMIZED CONTROLLED TRIAL
Yuyan Nie, Yuqi Liu, Qingyan Luo, Shaoqiang Huang
BACKGROUND: Few studies have investigated the use of dexmedetomidine in obstetric anaesthesia. OBJECTIVE: To evaluate the effect of dexmedetomidine combined with sufentanil for patient-controlled analgesia (PCA) after caesarean section under spinal anaesthesia. DESIGN: An interventional, randomised, double-blinded, placebo-controlled clinical study. SETTING: Department of Anaesthesiology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China...
April 2014: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/24337786/neonatal-and-maternal-risk-in-hermansky-pudlak-syndrome-peripartum-management-brief-report-and-review-of-literature
#11
REVIEW
Cornelia Bachmann, Harald Abele, Diethelm Wallwiener, Karl Oliver Kagan
INTRODUCTION: Challenges of modern medicine are peripartum bleeding complications as one of the most frequent cases of emergency in obstetrics with a prevalence of 0.5-5.0 %, meaning the main cause of maternal morbidity and mortality. In this context, inherited diseases such as Hermansky-Pudlak syndrome (HPS) should be recognized. HPS is a rare disease and belongs to a heterogeneous group of autosomal recessive disorders characterized by the triad of partial oculocutaneous albinism, disorder of "ceroid" metabolism and platelet storage pool deficiency with bleeding disorder...
June 2014: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/24193179/current-practice-in-obstetric-anesthesia-a-2012-european-survey
#12
C Staikou, A Paraskeva, I Karmaniolou, A Mani, K Chondrogiannis
BACKGROUND: New scientific findings are gradually implemented into daily clinical routine. The present questionnaire survey investigated the current practice in obstetric anesthesia in Europe. METHODS: A 19-point questionnaire on obstetric anesthesia practices, regarding the techniques, drugs, fluids, vasopressors and safety measures, was uploaded on the site of the European Society of Anaesthesiology (21/12/2011 to 21/12/2012). RESULTS: Three hundred and forty-one (341) completed questionnaires were analyzed...
March 2014: Minerva Anestesiologica
https://www.readbyqxmd.com/read/24122685/evolving-pattern-of-anaesthesia-for-caesarean-section-experience-at-the-university-of-benin-teaching-hospital
#13
F E Amadasun, H O Idehen, N P Edomwonyi
BACKGROUND: The WHO puts caesarean section rate in Nigeria at 1.8%. This is much higher in teaching, specialist and referral hospitals. In our centre University of Benin Teaching Hospital (UBTH), the average annual rate is 33.4%. General anaesthesia is the predominant choice for caesarean section (C/S) in most centres. The trend is increasing towards regional anaesthesia. Many studies have reported the trend in several centres. This study examined the evolving pattern in our centre. OBJECTIVE: To examine the evolving pattern of anaesthetic technique for caesarean section, at the University of Benin Teaching Hospital...
July 2013: West African Journal of Medicine
https://www.readbyqxmd.com/read/24028298/characteristic-profiles-among-students-and-junior-doctors-with-specific-career-preferences
#14
Yuko Takeda, Kunimasa Morio, Linda Snell, Junji Otaki, Miyako Takahashi, Ichiro Kai
BACKGROUND: Factors influencing specialty choice have been studied in an attempt to find incentives to enhance the workforce in certain specialties. The notion of "controllable lifestyle (CL) specialties," defined by work hours and income, is gaining in popularity. As a result, many reports advocate providing a 'lifestyle-friendly' work environment to attract medical graduates. However, little has been documented about the priority in choosing specialties across the diverse career opportunities...
2013: BMC Medical Education
https://www.readbyqxmd.com/read/23869828/-the-influence-of-warmed-infusion-during-c-section-on-the-mother-and-child-a-pilot-randomised-prospective-study
#15
RANDOMIZED CONTROLLED TRIAL
M Kirchnerová, Z Mrozek, I Oborná, L Kantor
AIM OF THE STUDY: To evaluate the influence of warmed infusions on the mothers and newborns well-being after C-section. DESIGN: Prospective randomized study. SETTING: Dept. of Anaesthesiology, Resuscitation and Intensive Care Medicine, Dept. of Obstetrics and Gynaecology, Faculty of Medicine and Dentistry Palacký University and University Hospital Olomouc. METHODS: Prospective randomized study including 29 pregnant women between 38th and 42nd week of pregnancy, that were indicated to elective caesarian section (SC) and from all of which the fetal distress was excluded...
June 2013: Ceská Gynekologie
https://www.readbyqxmd.com/read/23808256/-clinical-case-of-cesarean-combined-with-convexital-giant-meningioma-resection-in-adolescent-girl
#16
I A Savvina, V A Hachatryan, A V Kim, U M Zabrodskaya
The article deals with a case of successful surgical treatment of 16 years old patient with giant meningioma of right temporal, parietal and frontal lobes. Patient was on a 32 week of pregnancy and she had a Caesarean section before meningioma treatment. The article discusses the problems of anaesthesiological, surgical and obstetric tactics.
January 2013: Anesteziologiia i Reanimatologiia
https://www.readbyqxmd.com/read/23662520/-perinatal-anaesthesia-risk-scale-and-prognosis-of-perinatal-results-during-cesarean-section
#17
A V Kulikov, S G Dubrovin, O G Malkova
UNLABELLED: The article presents analysis of informative importance of the scales estimating the somatic status and surgical and anaesthesiology risk: American Society of Anesthesiologists (ASA), Moscow Scientific Society of Anaesthesiology and Resuscitation (MSSAR) and Anaesthesiology Perinatal Risk (APR). Reliably high correlation between APR scale and blood loss, pregnancy term, Apgar score assessment, newborn body weight is shown in the article. Information importance of APR scale, its sensitivity, specificity and efficiency concerning perinatal results reliably authentically exceeded ASA and MSSAR scales...
November 2012: Anesteziologiia i Reanimatologiia
https://www.readbyqxmd.com/read/23662514/-emergency-obstetrics-the-resuscitation-mobile-center-experience
#18
E A Evdokimov, I V Bratishchev, V A Kurtser
This article is devoted to topical problem in obstetrics critical states therapy and reflects long-term experience of resuscitation mobile center of S.P. Botkin hospital. Epidemiology of critical state in obstetrics and modern approaches to treatment of these conditions are considered on a voluminous clinical data. Mobile telemedical complexes and multidisciplinary consultations are used for decision-making optimization in difficult clinical situations. The modern concept of anaesthesiology safety level increase is presented...
November 2012: Anesteziologiia i Reanimatologiia
https://www.readbyqxmd.com/read/23471752/anticipation-of-the-difficult-airway-preoperative-airway-assessment-an-educational-and-quality-improvement-tool
#19
RANDOMIZED CONTROLLED TRIAL
D Cattano, P V Killoran, D Iannucci, V Maddukuri, A V Altamirano, S Sridhar, C Seitan, Z Chen, C A Hagberg
BACKGROUND: Assessment of the potentially difficult airway (DA) is a critical aspect of resident education. We investigated the impact of a new assessment form on airway prediction and management by anaesthesia residents. We hypothesized that residents would demonstrate improvement in evaluation of DAs over the study duration. METHODS: After IRB approval, anaesthesia residents were randomized into two groups: control (existing form) and experimental (new form). Data were collected prospectively from August 2008 to May 2010 on all non-obstetric adult patients undergoing non-emergent surgery...
August 2013: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/22985754/-the-objective-structured-clinical-evaluation-of-teaching-in-anaesthesiology-and-resuscitation
#20
M Echevarría Moreno, C Prieto Vera, A Martín Tellería, F Neira Reina, J S Martín, M L Fernández Jurado, J C Luis Navarro, J L Ortega Garcia, L Alarcón Martínez, R López-Cuervo Derqui
OBJECTIVES: To find out the acquirement of professional competencies of Anaesthesiology and Resuscitation medical residents at the end of their training period using the Objective Structured Clinical Evaluation (OCSE) tool. MATERIAL AND METHODS: Six competency components to evalúate were defined as follows: clinical interview (communication), technical ability and relationship abilities (leadership, decision making, work in a team), diagnostic assessment, therapeutic management, and medical records...
March 2012: Revista Española de Anestesiología y Reanimación
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