Epidural opioids and previous caesarean section.

abstract：:Amniotic fluid embolism occurs rarely but is a leading cause of maternal mortality. A high index of clinical suspicion is necessary to make an early diagnosis to reduce morbidity and mortality. We report a non-fatal case of amniotic fluid embolism occurring during a caesarean section, with special emphasis on the mode...

journal_title：International journal of obstetric anesthesia

authors： Tramoni G,Valentin S,Robert MO,Sergeant MV,Branche P,Duperret S,Clement HJ,Lopez F,Boisson C,Audra P,Rudigoz RC,Viale JP

更新日期：2004-10-01 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：: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

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

更新日期：1997-01-01 00:00:00

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

authors： Deighan M,Ash S,McMorrow R

更新日期：2014-02-01 00:00:00

abstract：BACKGROUND:Pruritus is the most common side effect of intrathecal morphine, especially in parturients. The exact mechanism is not clear and many possible mechanisms have been suggested. Among these is the activation of the 5-hydroxytryptamine sub-type-3 receptors by intrathecal morphine. METHODS:Forty parturients who ...

journal_title：International journal of obstetric anesthesia

authors： Aly M,Ibrahim A,Farrag W,Abdelsalam K,Mohamed H,Tawfik A

更新日期：2018-08-01 00:00:00

abstract：:Urticaria pigmentosa is a cutaneous variant of mastocytosis. This is a complex group of diseases distinguished by abnormal aggregation of mast cells within the skin and other organs. Mast cell degranulation and subsequent release of vasoactive amines may occur in response to a variety of non-immune triggers leading to...

journal_title：International journal of obstetric anesthesia

authors： Gupta S,Gilder F,Glazebrook C

更新日期：1998-10-01 00:00:00

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

authors： Vanner RG

更新日期：1992-05-01 00:00:00

abstract：:Current pain and analgesic management strategies apply a standardized one-size-fits-all approach to women undergoing cesarean delivery. These standardized protocols do not account for significant variability in women's pain and may lead to under-treatment in patients with high analgesic needs and overtreatment, associ...

journal_title：International journal of obstetric anesthesia

authors： Carvalho B,Habib AS

更新日期：2019-11-01 00:00:00

abstract：INTRODUCTION:This retrospective, matched case-control cohort study describes the incidence, indications, anesthesia techniques and outcomes of pregnancies complicated by surgery in a single tertiary-referral hospital. METHODS:Retrospective review of the hospital records of 171 patients who had non-obstetric surgery in...

journal_title：International journal of obstetric anesthesia

authors： Devroe S,Bleeser T,Van de Velde M,Verbrugge L,De Buck F,Deprest J,Devlieger R,Rex S

更新日期：2019-08-01 00:00:00

abstract：:Paracetamol is the most frequently used analgesic during pregnancy and the most common drug involved in suicidal overdose in the UK. Manifestation of toxicity classically occurs over four phases with clinical and laboratory features resembling HELLP (haemolysis, elevated liver enzymes, low platelets) syndrome. We repo...

journal_title：International journal of obstetric anesthesia

authors： Mills AT,Davidson ME,Young P

更新日期：2014-05-01 00:00:00

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

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

更新日期：2016-05-01 00:00:00

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

authors： Panni MK,Camann WR,Tsen LC

更新日期：2006-10-01 00:00:00

abstract：:A case is described of a 30-year-old insulin-dependent diabetic woman who presented at 25 weeks gestation with frontal headache. Contrast tomography revealed an aneurysm of the middle cerebral artery with no evidence of subarachnoid bleeding. Although elective caesarean section at term was planned, it was performed at...

journal_title：International journal of obstetric anesthesia

authors： Gupta A,Hesselvik F,Eriksson L,Wyon N

更新日期：1993-01-01 00:00:00

abstract：BACKGROUND:This systematic review and meta-analysis evaluates evidence for seven risk factors associated with failed conversion of labor epidural analgesia to cesarean delivery anesthesia. METHODS:Online scientific literature databases were searched using a strategy which identified observational trials, published bet...

journal_title：International journal of obstetric anesthesia

authors： Bauer ME,Kountanis JA,Tsen LC,Greenfield ML,Mhyre JM

更新日期：2012-10-01 00:00:00

abstract：:We report a case of akathisia developed after administration of 2.5 mg metoclopramide for treatment of nausea during cesarean section. The relevant literature as well as options for prevention and treatment of this phenomenon are reviewed. ...

journal_title：International journal of obstetric anesthesia

authors： Cohen Y,Glantz L,Ezri T,Geva D

更新日期：2000-04-01 00:00:00

abstract：:The Analgesia in Childbirth Bill (1949) remains the only attempt in British history to give mothers the legal right to pain relief in childbirth. It provides a useful introduction to the major themes in the history of British obstetric anaesthesia and analgesia under the National Health Service. This paper places the ...

journal_title：International journal of obstetric anesthesia

authors： Barnett R

更新日期：2007-01-01 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：:We prospectively studied 30 women in labour who requested epidural analgesia. They were randomly allocated into two groups; one received a preload of 7 mL/kg normal saline and the other no preload. All patients had a standard epidural solution consisting of 0.1% bupivacaine 20 mL containing fentanyl 2 microg/mL. Mean ...

journal_title：International journal of obstetric anesthesia

authors： Hawthorne L,Slaymaker A,Bamber J,Dresner M

更新日期：2001-10-01 00:00:00

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

authors： Lepski GR,Alderson JD

更新日期：2001-07-01 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：:Two patients with Type I Klippel-Feil syndrome presented at the antenatal clinic. The first patient, who suffered from sleep apnoea, was delivered of a healthy infant by vacuum extraction. The second, who was profoundly deaf and had marked kyphoscoliosis, developed pregnancy-induced hypertension and urinary tract infe...

journal_title：International journal of obstetric anesthesia

authors： Singh D,Mills GH,Caunt JA,Alderson JD

更新日期：1996-07-01 00:00:00

abstract：:Congenital complete heart block is a rare phenomenon that may be discovered during pregnancy in patients who were previously asymptomatic. Peripartum management of these patients mandates a multidisciplinary approach with careful planning regarding indications for pacing, appropriate anesthetic technique, and continge...

journal_title：International journal of obstetric anesthesia

authors： Preston D,Klucsarits S,Moon T,Nasir D

更新日期：2020-11-01 00:00:00

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

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

更新日期：2010-04-01 00:00:00

abstract：:We present a case in which remifentanil infusion was used to provide analgesia during epidural catheter placement in a parturient who was experiencing great difficulty staying motionless because of extremely painful uterine contractions. Remifentanil may provide certain advantages in this setting, including improved a...

journal_title：International journal of obstetric anesthesia

authors： Brada SA,Egan TD,Viscomi CM

更新日期：1998-04-01 00:00:00

abstract：:Primary pulmonary hypertension, though uncommon, is found relatively frequently in women of childbearing age and carries a high peripartum mortality. We present a patient with severe primary pulmonary hypertension who underwent two cesarean sections 3 and 6 years after the diagnosis of primary pulmonary hypertension w...

journal_title：International journal of obstetric anesthesia

authors： Khan MJ,Bhatt SB,Kryc JJ

更新日期：1996-01-01 00:00:00

abstract：INTRODUCTION:Delayed respiratory depression is a feared complication of intrathecal morphine in patients undergoing cesarean delivery. The incidence, timing and risk factors for hypoxia in this population are not known. METHODS:Patients undergoing cesarean delivery under spinal anesthesia at a tertiary care center fro...

journal_title：International journal of obstetric anesthesia

authors： Ladha KS,Kato R,Tsen LC,Bateman BT,Okutomi T

更新日期：2017-11-01 00:00:00

abstract：:We conducted a retrospective study of all cases of cesarean section at the KK Women's and Children's Hospital over a one-year period from September 1, 2002 to August 31, 2003, with the aim of evaluating current anesthetic practice. These cases were identified using hospital databases and relevant data was extracted fr...

journal_title：International journal of obstetric anesthesia

authors： Kan RK,Lew E,Yeo SW,Thomas E

更新日期：2004-10-01 00:00:00

abstract：BACKGROUND:Various interventions are used as prophylaxis for aspiration pneumonitis in obstetric anaesthesia. This review, based on a Cochrane systematic review currently being updated, examines whether interventions given before caesarean section reduce the risk of aspiration pneumonitis. METHODS:Twenty-two studies, ...

journal_title：International journal of obstetric anesthesia

authors： Paranjothy S,Griffiths JD,Broughton HK,Gyte GM,Brown HC,Thomas J

更新日期：2011-04-01 00:00:00

abstract：:We describe a case of spontaneous intracranial hypotension in a 36-year-old woman. This condition shares many of the features of post dural puncture headache, but without a dural puncture having been performed. The aetiology and management of this rare condition are discussed. We believe from experience within our own...

journal_title：International journal of obstetric anesthesia

authors： Adams MG,Romanowski CA,Wrench IJ

更新日期：2002-01-01 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