Comparison of three different loading doses to establish epidural analgesia in labour.

abstract：:Intracranial subdural hematoma is an exceptionally rare but life-threatening complication of spinal anesthesia. We report a case of intracranial subdural hematoma following spinal anesthesia for cesarean section in a 27-year-old woman. She developed a diffuse headache after surgery with a blood pressure of 220/140 mm ...

journal_title：International journal of obstetric anesthesia

authors： Yildirim GB,Colakoglu S,Atakan TY,Büyükkirli H

更新日期：2005-04-01 00:00:00

abstract：:Water intoxication during pregnancy is an uncommon event, usually associated with iatrogenic fluid overload, the prolonged administration of high doses of oxytocin or psychiatric disorder. This case report describes water intoxication presenting as the sudden onset of grand mal convulsions in the immediate postpartum ...

journal_title：International journal of obstetric anesthesia

authors： Paech MJ

更新日期：1998-01-01 00:00:00

abstract：BACKGROUND:A common polymorphism of the μ-opioid receptor gene (OPRM1, p.118A/G), which has been shown to effect the response to neuraxial opioids, occurs in 30% of Caucasian women. This double-blind up-down sequential allocation study was designed to examine the effect of p.118A/G on the ED50 of epidural sufentanil fo...

journal_title：International journal of obstetric anesthesia

authors： Camorcia M,Capogna G,Stirparo S,Berritta C,Blouin JL,Landau R

更新日期：2012-01-01 00:00:00

abstract：:A parturient who was 35 weeks' pregnant by her husband who was known to be susceptible to malignant hyperthermia, required anaesthesia for caesarean section for bleeding placenta praevia. The patient was considered to be haemodynamically stable and the procedure was carried out uneventfully under subarachnoid block. A...

journal_title：International journal of obstetric anesthesia

authors： Nanson JK,Sheikh A

更新日期：2000-10-01 00:00:00

abstract：:Chiari (or Arnold-Chiari) malformations are a continuum of abnormalities of the hindbrain with the possibility of disordered cerebrospinal fluid flow and craniospinal pressure gradients. We describe the management of a 30-year-old primigravida who presented following a grand mal seizure during the first trimester. A C...

journal_title：International journal of obstetric anesthesia

authors： Penney DJ,Smallman JM

更新日期：2001-04-01 00:00:00

abstract：BACKGROUND:A head-elevation pillow places a patient in a ramped posture, which maximises the view of the larynx during laryngoscopy, particularly in obese parturients. In our institution an elevation pillow is used pre-emptively for neuraxial anaesthesia. We hypothesised that head-elevation may impair cephalad spread o...

journal_title：International journal of obstetric anesthesia

authors： Elfil H,Crowley L,Segurado R,Spring A

更新日期：2015-11-01 00:00:00

abstract：:A 70 kg, 34-year-old woman at 29 weeks-of-gestation required intrauterine transfusion for Rh (D) alloimmunization. In the ambulatory treatment clinic, 19 mg of rocuronium was administered intramuscularly in split doses into the fetal buttock. The fetus moved and inadvertent maternal neuromuscular blockade occurred, le...

journal_title：International journal of obstetric anesthesia

authors： Munro A,McKeen D,Coolen J

更新日期：2019-08-01 00:00:00

abstract：:A 43-year-old woman presented at 34 weeks' gestation with pre-eclampsia and intra-uterine growth restriction. She had a past medical history of myocardial infarction and had angina on moderate effort. She also had non-insulin dependent diabetes mellitus, chronic obstructive airways disease and hypercholesterolaemia. T...

journal_title：International journal of obstetric anesthesia

authors： Duggan M,Carey M

更新日期：2000-07-01 00:00:00

abstract：:Patients with dystrophia myotonica requiring caesarean section pose significant problems for the anaesthetist. This report describes the successful use of a combined spinal-epidural technique for anaesthesia and postoperative analgesia in such a patient. ...

journal_title：International journal of obstetric anesthesia

authors： Driver IK,Broadway JW

更新日期：1996-10-01 00:00:00

abstract：:A nation-wide survey of pain relief in childbirth in Hungary was carried out in 1993. Information was provided on 104 137 deliveries in 98 units. The frequencies of different methods of pain relief for vaginal delivery were as follows: systemic opiates in 7387 cases (8.3%), epidural analgesia in 4611 cases (5.2%) and ...

journal_title：International journal of obstetric anesthesia

authors： Beke A,Takács G,Sziller I,Fedák L,Papp Z

更新日期：1997-10-01 00:00:00

abstract：:Osteosarcoma is the most common primary malignant bone tumor, yet it is exceedingly rare in pregnancy. We present a case of a 33-year-old multiparous woman diagnosed with high-grade osteosarcoma during the third trimester of pregnancy. A plan was formulated to perform cesarean delivery at 33 weeks of gestation under s...

journal_title：International journal of obstetric anesthesia

authors： Quaye AA,Raskin KA,Ecker JL,Leffert LR

更新日期：2010-07-01 00:00:00

abstract：:We review the evidence base for fluid management in pre-eclampsia. Current understanding of the relevant pathophysiology and the possible impact of styles of fluid management on maternal and fetal outcome are presented. There is little evidence upon which to base the management of fluid balance in pre-eclampsia. Repor...

journal_title：International journal of obstetric anesthesia

authors： Engelhardt T,MacLennan FM

更新日期：1999-10-01 00:00:00

abstract：:HELLP (hemolysis, elevated liver enzymes and low platelets) syndrome is an obstetric complication with heterogeneous presentation, multisystem involvement and variable prognosis, but which usually resolves after delivery. We report a case of HELLP syndrome with subcapsular hematoma of the liver causing extrapericardia...

journal_title：International journal of obstetric anesthesia

authors： Kinthala S,Fakoory M,Greaves T,Kandamaran L,Thomas H,Moe S

更新日期：2012-07-01 00:00:00

abstract：BACKGROUND:Hypotension induced by spinal anesthesia for cesarean section causes a decrease in maternal regional cerebral blood volume and oxygenation. We used near-infrared spectroscopy to determine whether prophylactic infusion of phenylephrine attenuates these decreases. METHODS:Sixty patients undergoing bupivacaine...

journal_title：International journal of obstetric anesthesia

authors： Hirose N,Kondo Y,Maeda T,Matsui M,Matsuda M,Suzuki T

更新日期：2019-02-01 00:00:00

abstract：:Pompe disease (Glycogen storage disease type II) leads to abnormal glycogen deposition in various vital organs resulting in multiple systemic sequelae. We present the anaesthetic management for caesarean section of a 31-year-old parturient with known Pompe disease. The parturient had symptoms and signs of respiratory ...

journal_title：International journal of obstetric anesthesia

authors： Cilliers HJ,Yeo ST,Salmon NP

更新日期：2008-04-01 00:00:00

abstract：:Combined spinal-epidural anesthesia balancing low-dose intrathecal bupivacaine/fentanyl and low-dose epidural bupivacaine may be more useful than single-shot spinal anesthesia for cesarean delivery in reducing incidences of adverse effects such as hypotension and nausea and in shortening motor recovery. Combined spina...

journal_title：International journal of obstetric anesthesia

authors： Choi DH,Ahn HJ,Kim JA

更新日期：2006-01-01 00:00:00

abstract：:The marked reduction in the number of cases related to the provision of anaesthesia, included in the triennial Reports on Confidential Enquiries into Maternal Deaths in the UK, may limit the educational value of such reports for anaesthetists in the future. The collection, analysis and reporting of untoward events rel...

journal_title：International journal of obstetric anesthesia

authors： McBrien ME,Bali IM

更新日期：1996-10-01 00:00:00

abstract：:Primary pulmonary hypertension is a fatal disease that frequently becomes evident in pregnancy. The management of pregnant women with primary pulmonary hypertension poses a number of difficult problems, especially where regional anesthesia is considered to be contraindicated. A 30-year-old woman who developed primary ...

journal_title：International journal of obstetric anesthesia

authors： Toyama H,Wagatsuma T,Ejima Y,Matsubara M,Kurosawa S

更新日期：2009-07-01 00:00:00

abstract：:The experiences of 890 parturients were studied across Finland during one week to determine how they experienced labour pain and how effective they regarded the means to alleviate it. The majority of women (72%) had been afraid of labour and 88% had intended to request some pharmacological pain relief. 84% of primipar...

journal_title：International journal of obstetric anesthesia

authors： Kangas-Saarela T,Kangas-Kärki K

更新日期：1994-04-01 00:00:00

abstract：:A 30-year-old woman was admitted to the labour ward at term complaining of symptoms suggestive of raised intracranial pressure which were overlooked. Epidural analgesia was administered following induction of labour and was associated with a clear exacerbation of symptoms. After delivery a CT scan revealed a large cer...

journal_title：International journal of obstetric anesthesia

authors： Wakeling HG,Barry PC

更新日期：1995-04-01 00:00:00

abstract：:Clinical hyperthyroidism is found in approximately 5% of women with a hydatidiform mole, as human chorionic gonadotropin secreted by molar tissue is structurally similar to thyroid-stimulating hormone. A hydatidiform mole occasionally presents with a co-existing viable fetus. Surgical evacuation may be indicated for s...

journal_title：International journal of obstetric anesthesia

authors： Erturk E,Bostan H,Geze S,Saracoglu S,Erciyes N,Eroglu A

更新日期：2007-10-01 00:00:00

abstract：:An epidural catheter may be inserted with the patient either in the flexed left lateral or the sitting position. We have studied, non-invasively, the haemodynamic changes associated with these positions, using the thoracic bio-impedance method (BOMED NCCOM3 Monitor). Maternal arterial pressure and fetal heart rate wer...

journal_title：International journal of obstetric anesthesia

authors： Chadwick IS,Eddleston JM,Chandelier CK,Pollard BJ

更新日期：1993-01-01 00:00:00

abstract：:The pressor response is known to be exaggerated in patients with pregnancy-induced hypertension, which can result in increased morbidity and mortality in both mother and newborn. Various pharmacological agents have been used before induction in an attempt to attenuate the adrenergic response but with varying degree of...

journal_title：International journal of obstetric anesthesia

authors： Bansal S,Pawar M

更新日期：2002-01-01 00:00:00

abstract：BACKGROUND:Epidural labor analgesia inclusive of high-dose fentanyl has been thought to affect breastfeeding in multiparous patients. In our experience, this effect is not as significant as quoted in the literature. This study was designed to evaluate breastfeeding success in women receiving epidural analgesia with fen...

journal_title：International journal of obstetric anesthesia

authors： Wieczorek PM,Guest S,Balki M,Shah V,Carvalho JC

更新日期：2010-07-01 00:00:00

abstract：:The opioid crisis has reached an unprecedented magnitude in the United States and worldwide, and data on opioid use and misuse in the obstetric population are extremely concerning. Despite an abundant number of studies evaluating strategies to prevent neonatal opioid withdrawal syndrome in babies born to mothers who a...

journal_title：International journal of obstetric anesthesia

authors： Landau R

更新日期：2019-08-01 00:00:00

abstract：:Pre-existing epidural analgesia was rapidly extended in 36 consecutive patients presenting for emergency caesarean section by using 20 ml of 2% lignocaine + 1/200,000 adrenaline freshly prepared given by slow bolus injection. Despite a wide range of initial analgesic sensory levels the technique produced blocks that w...

journal_title：International journal of obstetric anesthesia

authors： Price ML,Reynolds F,Morgan BM

更新日期：1991-09-01 00:00:00

abstract：:In the following case there was delay in diagnosing uterine rupture in a patient with an epidural in situ. The danger of using large doses of local anaesthetics and opioids epidurally in patients who have had previous caesarean sections is discussed. ...

journal_title：International journal of obstetric anesthesia

authors： McBeth C

更新日期：1995-10-01 00:00:00

abstract：BACKGROUND:Post-dural puncture headache following trauma to the dural membrane during neuraxial anaesthesia occurs in 0.13-6.5% of pregnant patients. Identifying factors beyond individual performance that contribute to this adverse event is crucial to developing improvement strategies. METHODS:We used a root cause ana...

journal_title：International journal of obstetric anesthesia

authors： Haller G,Cornet J,Boldi MO,Myers C,Savoldelli G,Kern C

更新日期：2018-11-01 00:00:00

abstract：:In the UK, maternal mortality due to haemorrhage appears to be rising, with obstetric haemorrhage accounting for 3-4% of the red cells transfused. Allogeneic blood transfusion carries risks such as administration errors, transmitted infections and immunological reactions. The supply of blood is decreasing, partly due ...

journal_title：International journal of obstetric anesthesia

authors： Catling S

更新日期：2007-07-01 00:00:00

abstract：:We present the case of a 30-year-old parturient diagnosed in the first trimester of her first pregnancy as having paroxysmal nocturnal haemoglobinuria. Pancytopenia necessitated regular transfusion of blood products. The risks of infection, haemorrhage and thrombosis, in the presence of severe thrombocytopenia, mild n...

journal_title：International journal of obstetric anesthesia

authors： Paech MJ,Pavy TJ

更新日期：2004-07-01 00:00:00