Arnold-Chiari malformation and pregnancy.

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 Chiari type I malformation was diagnosed radiologically. She was delivered at term by elective caesarean section using a general anaesthetic technique. The difficulties in anaesthetising the patient with Chiari malformation are considered, and a literature review is presented to illustrate the risk-benefit analysis undertaken.

journal_name

Int J Obstet Anesth

authors

Penney DJ,Smallman JM

doi

10.1054/ijoa.2000.0818

subject

Has Abstract

pub_date

2001-04-01 00:00:00

pages

139-41

issue

2

eissn

0959-289X

issn

1532-3374

pii

S0959-289X(00)90818-5

journal_volume

10

pub_type

杂志文章
  • Mivacurium for caesarean section in hypertensive parturients receiving magnesium sulphate therapy.

    abstract::The interaction between mivacurium and magnesium sulphate was investigated in a group of parturients undergoing caesarean section under general anaesthesia. Thirty parturients were studied; 10 normotensive controls (group NT), 10 hypertensive controls (group HT) and 10 hypertensives who received magnesium sulphate (gr...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1016/s0959-289x(98)80022-8

    authors: Hodgson RE,Rout CC,Rocke DA,Louw NJ

    更新日期:1998-01-01 00:00:00

  • Transcranial Doppler blood flow measurement during cesarean section in two patients with cerebral vascular disease.

    abstract::We present two cases of neurovascular disease in pregnancy in which transcranial Doppler was used to assess the status of the cerebral circulation during cesarean section under regional anesthesia. One woman had been found to have moyamoya disease, following a series of transient ischemic attacks during her first preg...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1054/ijoa.2002.0947

    authors: Smiley RM,Ridley DM,Hartmann A,Ciliberto CF,Baxi L

    更新日期:2002-07-01 00:00:00

  • Does midwifery-led intrapartum care require anaesthetic services?

    abstract::The report of the Expert Maternity Group 'Changing Childbirth' (The Cumberlege Report) advocates a greater role for midwives in the care of the low risk pregnant woman, and has promoted much discussion about the future development of maternity services in the UK. At Leicester Royal Infirmary NHS Trust the 'Home from H...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1016/s0959-289x(96)80022-7

    authors: Pickett JA,Oppenheimer CA,May AE

    更新日期:1996-07-01 00:00:00

  • Perioperative analgesia for caesarean section: comparison of intrathecal morphine and fentanyl alone or in combination.

    abstract::In a double-blind placebo-controlled trial we compared perioperative pain relief using different intrathecal opioid regimens given with bupivacaine during spinal anaesthesia for elective caesarean section. One hundred and sixteen patients undergoing elective caesarean section were divided into four groups (A, B, C, D)...

    journal_title:International journal of obstetric anesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0959-289x(97)80051-9

    authors: Sibilla C,Albertazz P,Zatelli R,Martinello R

    更新日期:1997-01-01 00:00:00

  • Gastro-oesophageal reflux and regurgitation during general anaesthesia for termination of pregnancy.

    abstract::Gastro-oesophageal reflux (GOR) and regurgitation were investigated with an oesophageal pH electrode, inserted after the induction of general anaesthesia with methohexitone, in 100 patients undergoing termination of pregnancy, 50 in the first trimester and 50 in the second. GOR occurred in 17 patients, 8 in the first ...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1016/0959-289x(92)90015-v

    authors: Vanner RG

    更新日期:1992-05-01 00:00:00

  • Failed intubation in a parturient with spina bifida.

    abstract::We describe a case of unexpected difficult intubation and ventilation during induction of general anaesthesia for caesarean section. This case was particularly challenging as the parturient suffered with particularly severe cord tethering following surgery for spina bifida as a child. The observed change in anticipate...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1054/ijoa.1999.0353

    authors: Anderson KJ,Quinlan MJ,Popat M,Russell R

    更新日期:2000-01-01 00:00:00

  • Anaesthesia for parturients with severe cystic fibrosis: a case series.

    abstract::Cystic fibrosis affects 1 in 1600-2500 live births and is inherited in an autosomal recessive manner. It primarily involves the respiratory, gastrointestinal and reproductive tracts, with impaired clearance of, and obstruction by, increasingly viscous secretions. Severe respiratory disease, diabetes and gastro-oesopha...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.ijoa.2013.10.006

    authors: Deighan M,Ash S,McMorrow R

    更新日期:2014-02-01 00:00:00

  • Anesthetic management of a parturient with Stiff person syndrome for urgent cesarean delivery.

    abstract::Stiff person syndrome is a rare neurologic disorder with an estimated incidence of 1:1000000. The underlying pathophysiology is truncal and proximal limb muscle stiffness resulting from continuous co-contracture of agonist and antagonist muscle groups concomitant with superimposed episodic muscle spasms. Loss of gamma...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.ijoa.2016.05.006

    authors: Boettcher BT,Muravyea M,Kuo C,Drexler C,Pagel PS

    更新日期:2016-08-01 00:00:00

  • Anaesthesia in parturients with heart disease: a five year review in an Australian tertiary hospital.

    abstract::At the Royal Women's Hospital, Queensland, between 1993 and 1997 there were 56 vaginal and 22 caesarean deliveries involving 68 women with heart disease. Over half of those women required anaesthetic input, in particular, the women who had the most serious cardiac compromise. There were two maternal deaths, four unboo...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1016/S0959-289X(02)00198-X

    authors: Boyle RK

    更新日期:2003-07-01 00:00:00

  • Management of a parturient with paroxysmal nocturnal haemoglobinuria.

    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

    pub_type: 杂志文章

    doi:10.1016/j.ijoa.2004.02.003

    authors: Paech MJ,Pavy TJ

    更新日期:2004-07-01 00:00:00

  • Regional anaesthesia for caesarean section in severe preeclampsia: spinal anaesthesia is the preferred choice.

    abstract::Standard textbooks advocate epidural rather than spinal anaesthesia for caesarean section in severe preeclampsia. The basis for this recommendation is the theoretical risk of severe hypotension but no published scientific studies have been identified to support this assertion. We therefore designed a prospective study...

    journal_title:International journal of obstetric anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0959-289x(99)80003-x

    authors: Sharwood-Smith G,Clark V,Watson E

    更新日期:1999-04-01 00:00:00

  • Neuraxial anaesthesia for caesarean section in a patient with narcolepsy and cataplexy.

    abstract::We report the management of a morbidly obese parturient suffering from narcolepsy with cataplexy who presented for caesarean section. Her symptoms were controlled by modafinil and fluoxetine. We administered epidural anaesthesia successfully; surgery was uneventful and recovery was uncomplicated. We discuss some of th...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.ijoa.2010.07.015

    authors: Soltanifar S,Russell R

    更新日期:2010-10-01 00:00:00

  • National survey of obstetric anaesthesia clinical practices in the republic of Austria.

    abstract:BACKGROUND:The aim of this study was to describe the current obstetric anaesthetic practices in Austria by performing a comprehensive questionnaire survey. METHODS:A questionnaire was sent via email to key anaesthesiologists from obstetric anaesthesia departments of 81 hospitals registered at the Austrian Ministry of ...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.ijoa.2019.02.002

    authors: Oji-Zurmeyer J,Ortner CM,Klein KU,Gries M,Kühn C,Schroffenegger T,Putz G,Jochberger S

    更新日期:2019-08-01 00:00:00

  • Epidural analgesia in labour for a patient with hereditary neuropathy with liability to pressure palsy.

    abstract::Hereditary neuropathy with liability to pressure palsy (HNPP) is a rare but probably under-diagnosed disorder of peripheral nerves in which individuals suffer from repeated motor and sensory neuropathies (pressure palsies) following brief nerve compression or mild trauma. A seemingly trivial insult such as sitting or ...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1054/ijoa.2000.0828

    authors: Lepski GR,Alderson JD

    更新日期:2001-07-01 00:00:00

  • Anesthetic management of a parturient with varicella presenting for cesarean delivery.

    abstract::Varicella (chicken pox) infection is associated with a significant risk of maternal and fetal morbidity and mortality. The choice of anesthetic technique, either neuraxial or general anesthesia, in such patients remains controversial. Anesthetic management depends not only on the extent of disease involvement and asso...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.ijoa.2016.06.002

    authors: Janardhan AL,Gupta N,Prakash S,Gogna RL

    更新日期:2016-12-01 00:00:00

  • Subcapsular liver hematoma causing cardiac tamponade in HELLP syndrome.

    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

    pub_type: 杂志文章

    doi:10.1016/j.ijoa.2012.04.007

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

    更新日期:2012-07-01 00:00:00

  • Management of labor and delivery in a woman with Morquio syndrome.

    abstract::Morquio syndrome, a congenital mucopolysaccharidosis, presents several challenges for the provision of effective labor analgesia. We report the case of a woman admitted for induction of labor who received an early epidural and subsequently required cesarean delivery. Optimal bilateral labor analgesia was not achieved ...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.ijoa.2015.08.015

    authors: Delgado C,Kent C,Sedensky M,Ciliberto C,Landau R

    更新日期:2015-11-01 00:00:00

  • Post-cesarean delivery pain. Management of the opioid-dependent patient before, during and after cesarean delivery.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.ijoa.2019.01.011

    authors: Landau R

    更新日期:2019-08-01 00:00:00

  • Catheter failure rates and time course with epidural versus combined spinal-epidural analgesia in labor.

    abstract:BACKGROUND:The combined spinal-epidural technique for labor analgesia has several advantages over the traditional epidural technique, including faster onset, greater maternal satisfaction, and decreased need for physician boluses. Proponents of the epidural technique criticize the combined spinal-epidural technique, ar...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.ijoa.2016.01.004

    authors: Groden J,Gonzalez-Fiol A,Aaronson J,Sachs A,Smiley R

    更新日期:2016-05-01 00:00:00

  • Spinal anaesthesia for caesarean section following epidural analgesia in labour: a relative contraindication.

    abstract::Three cases are described in which epidural analgesia was performed during labour using an infusion of bupivacaine 0.125-0.25%. When, in all 3 cases, caesarean section was required for failure to progress, hyperbaric bupivacaine was given in doses of 10 mg, 12.5 mg and 15 mg respectively. Within 2-4 min all 3 patients...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1016/0959-289x(94)90229-1

    authors: Gupta A,Enlund G,Bengtsson M,Sjöberg F

    更新日期:1994-07-01 00:00:00

  • Anaesthesia for emergency caesarean section in a parturient with bleeding placenta praevia and a potentially malignant hyperthermia-susceptible fetus.

    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

    pub_type: 杂志文章

    doi:10.1054/ijoa.2000.0394

    authors: Nanson JK,Sheikh A

    更新日期:2000-10-01 00:00:00

  • Effect of preoperative skin infiltration with 0.5% bupivacaine on postoperative pain following cesarean section under spinal anesthesia.

    abstract::Recent work suggests that preoperative skin infiltration with local anesthetic may lead to reduced postoperative pain. We have studied this in a randomised, prospective, double-blind trial of 40 women having cesarean section under spinal anesthesia. After establishment of the spinal block, the incision line was infilt...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1016/0959-289x(94)90068-x

    authors: Pavy T,Gambling D,Kliffer P,Munro A,Merrick PM,Douglas J

    更新日期:1994-10-01 00:00:00

  • Failure of neuraxial anaesthesia in a patient with Velocardiofacial syndrome.

    abstract::Velocardiofacial or 22q11 deletion syndrome is a genetic condition caused by deletion 22q11, the deletion of a small segment of the long arm of chromosome 22. To our knowledge this is the first case report of a woman with Velocardiofacial syndrome presenting in late pregnancy for caesarean delivery. She had undergone ...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.ijoa.2010.12.007

    authors: Cohen V,Powell E,Lake C

    更新日期:2011-07-01 00:00:00

  • Pain and pain relief in labour: parturients' experiences.

    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

    pub_type: 杂志文章

    doi:10.1016/0959-289x(94)90172-4

    authors: Kangas-Saarela T,Kangas-Kärki K

    更新日期:1994-04-01 00:00:00

  • Repeated attacks of type III hereditary angioedema with factor XII mutation during pregnancy.

    abstract::In type III hereditary angioedema (HAE type III), the phenotype is the same as type I and type II disease, but the level and function of C1-esterase inhibitor (C1-INH) is normal. Hereditary angioedema type III has been described as an oestrogen-sensitive form because it can be triggered or aggravated by exposure to hi...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.ijoa.2018.07.003

    authors: Feray S,Fain O,Kayem G,Sabourdin N,Constant I,Rigouzzo A

    更新日期:2018-11-01 00:00:00

  • Effect of dantrolene sodium on contractility of isolated human uterine muscle.

    abstract::The administration of intravenous dantrolene in a parturient susceptible to malignant hyperthermia has been associated with post partum uterine atony. We examined the effect of dantrolene sodium for injection (Dantrium Intravenous) on spontaneous contractility of uterine smooth muscle from women in term pregnancy in a...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1016/0959-289x(95)82910-3

    authors: Shin YK,Kim YD,Collea JV,Belcher MD

    更新日期:1995-10-01 00:00:00

  • Care of the clinician after an adverse event.

    abstract::The past two decades has seen a growing understanding that health care leads to harm in a large number of patients. With this insight has come an understanding that clinicians who care for patients who are harmed experience an understandable and predictable emotional response. After an adverse event, medical care give...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章,评审

    doi:10.1016/j.ijoa.2014.10.001

    authors: Pratt SD,Jachna BR

    更新日期:2015-02-01 00:00:00

  • A randomised study of magnesium sulphate as an adjuvant to intrathecal bupivacaine in patients with mild preeclampsia undergoing caesarean section.

    abstract:BACKGROUND:Adequate analgesia following caesarean section decreases morbidity, hastens ambulation, improves patient outcome and facilitates care of the newborn. Intrathecal magnesium, an NMDA antagonist, has been shown to prolong analgesia without significant side effects in healthy parturients. We therefore studied th...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ijoa.2009.08.007

    authors: Malleeswaran S,Panda N,Mathew P,Bagga R

    更新日期:2010-04-01 00:00:00

  • Resident training in obstetric anesthesia in the United States.

    abstract:BACKGROUND:Limited information exists on obstetric anesthesia experience and training within residency training programs in the United States. METHODS:A survey was sent to every academic anesthesiology training program in the United States (n=120), with follow-up reminders to non-responders. The survey included 14 que...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.ijoa.2006.04.013

    authors: Panni MK,Camann WR,Tsen LC

    更新日期:2006-10-01 00:00:00

  • The impact of gestational age and fetal weight on the risk of failure of spinal anesthesia for cesarean delivery.

    abstract:BACKGROUND:There are limited data about spinal dosing for cesarean delivery in preterm parturients. We investigated the hypothesis that preterm gestation is associated with an increased incidence of inadequate spinal anesthesia for cesarean delivery compared with term gestation. METHODS:We searched our perioperative d...

    journal_title:International journal of obstetric anesthesia

    pub_type: 杂志文章

    doi:10.1016/j.ijoa.2016.01.007

    authors: Adesope OA,Einhorn LM,Olufolabi AJ,Cooter M,Habib AS

    更新日期:2016-05-01 00:00:00