A parturient with neurofibromatosis type 2: anesthetic and obstetric considerations for delivery.

abstract：:Mothers receiving combined spinal-epidural (CSE) anaesthesia for elective caesarean section (n = 188) were audited. A single dose of epidural diamorphine (2-3 mg) was given during surgery. Unless contraindicated, diclofenac 100 mg was given per rectum at the end of surgery. Postoperative analgesia was provided as oral...

journal_title：International journal of obstetric anesthesia

authors： Bloor GK,Sinden M,McGregor R

更新日期：1999-01-01 00:00:00

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

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

更新日期：2018-11-01 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：:Acute lung disease may originate in pregnancy because of the pregnancy itself or because of an intercurrent etiology. The purpose of this study was to describe the effect of prolonged antepartum mechanical ventilatory support on the mother and the neonate when the strategy was to prolong the pregnancy rather than deli...

journal_title：International journal of obstetric anesthesia

authors： Grisaru-Granovsky S,Ioscovich A,Hersch M,Schimmel M,Elstein D,Samueloff A

更新日期：2007-07-01 00:00:00

abstract：:We report a case of a parturient with documented chronic Chagas' disease with cardiac manifestations presenting for labor management and complicated by the need for emergent hysterectomy after delivery. Chagas' disease is a common human hematogenous trypanosomiasis in Central and South America which is now, because of...

journal_title：International journal of obstetric anesthesia

authors： Martin HB,Wills J

更新日期：1996-04-01 00:00:00

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

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

更新日期：2016-05-01 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：: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：: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：:The 2009-12 MBRRACE-UK report highlighted the deaths of two women in whom dural puncture had occurred during insertion of a labour epidural catheter. One woman received an epidural blood patch, the other did not, but both suffered with chronic headaches following discharge from hospital. Neither woman was adequately f...

journal_title：International journal of obstetric anesthesia

authors： Russell R,Laxton C,Lucas DN,Niewiarowski J,Scrutton M,Stocks G

更新日期：2019-05-01 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：: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

authors： Soltanifar S,Russell R

更新日期：2010-10-01 00:00:00

abstract：BACKGROUND:A national survey of current practice and preferred drug choices for both induction and maintenance of general anaesthesia for caesarean section was undertaken. METHODS:Following approval by the Obstetric Anaesthetists' Association, all UK consultant members were invited to respond to an electronic survey. ...

journal_title：International journal of obstetric anesthesia

authors： Murdoch H,Scrutton M,Laxton CH

更新日期：2013-01-01 00:00:00

abstract：:We present a case of presumed amniotic fluid embolism in a 33-year-old parturient at 30 weeks of gestation, which occurred just before she was due to receive spinal anaesthesia for urgent caesarean section. While sitting, the woman suddenly lost consciousness, started having convulsions and finally suffered cardioresp...

journal_title：International journal of obstetric anesthesia

authors： Kumar V,Khatwani M,Aneja S,Kapur KK

更新日期：2010-01-01 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：:We present our experience in the anesthetic management of two parturients with pseudoxanthoma elasticum. The first had an epidural catheter inserted for labor analgesia and ultimately had a forceps delivery. The second had a cesarean section under epidural anesthesia and had a complicated postoperative course. There w...

journal_title：International journal of obstetric anesthesia

authors： Douglas MJ,Gunka VB,von Dadelszen P

更新日期：2003-01-01 00:00:00

abstract：BACKGROUND:Failed intubation is relatively common in the obstetric patient. Overall, there has been a decline in experience of general anaesthesia in obstetrics. The level of anaesthetic preparedness in the event of a difficult obstetric intubation is unknown. METHODS:With approval from the Obstetric Anaesthetists' As...

journal_title：International journal of obstetric anesthesia

authors： Bullough AS,Carraretto M

更新日期：2009-10-01 00:00:00

abstract：BACKGROUND:Cesarean birth is known as both cesarean section (CS) and cesarean delivery (CD). The International Journal of Obstetric Anesthesia (IJOA) is the leading obstetric anesthesia journal, and a barometer of attitudes within the profession. The journal recently published the hundredth issue, spanning 25 years (to...

journal_title：International journal of obstetric anesthesia

authors： Ni L,Elsaharty A,McConachie I

更新日期：2018-05-01 00:00:00

abstract：BACKGROUND:Neurological deficits noted immediately after childbirth are usually various obstetric neuropathies, but prospective studies are limited. The main study aim was to quantify and describe immediate postpartum neurological deficits of the lower extremity, including the buttocks. METHODS:A prospective observati...

journal_title：International journal of obstetric anesthesia

authors： Richards A,McLaren T,Paech MJ,Nathan EA,Beattie E,McDonnell N

更新日期：2017-05-01 00:00:00

abstract：BACKGROUND:Although persistent pain has been described to occur after various types of surgery, little is known about this entity following caesarean section or vaginal birth. We sought to examine the association between mode of delivery and development of persistent pain, as well as the nature and intensity of the pai...

journal_title：International journal of obstetric anesthesia

authors： Kainu JP,Sarvela J,Tiippana E,Halmesmäki E,Korttila KT

更新日期：2010-01-01 00:00:00

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：: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:Between 10-22% of the general population experience needle phobia. Needle phobic parturients are at increased risk of adverse outcomes. We assessed the efficacy of topical Ametop™ (tetracaine 4%) gel in reducing the pain associated with local anesthetic skin infiltration before neuraxial block in non-laborin...

journal_title：International journal of obstetric anesthesia

authors： Kavanagh T,Dube A,Albert A,Gunka V

更新日期：2016-08-01 00:00:00

abstract：INTRODUCTION:The 2000-2002 triennial UK Report on Confidential Enquiries into Maternal Deaths concluded that over 50% of maternal deaths involved substandard care and that many could have been prevented. Catastrophic events leading to cardio-respiratory arrest may necessitate the resuscitation of pregnant women in vari...

journal_title：International journal of obstetric anesthesia

authors： Cohen SE,Andes LC,Carvalho B

更新日期：2008-01-01 00:00:00

abstract：:The aim of the 2012 "What's new in obstetric anesthesia?" review is to highlight important scientific and medical advances in the fields of obstetric anesthesiology, obstetrics and perinatology from literature published in 2011. This review will consider advances in the prevention and treatment of important obstetric ...

journal_title：International journal of obstetric anesthesia

authors： Butwick AJ

更新日期：2012-10-01 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：: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：BACKGROUND:Eclampsia is a life-threatening complication of pregnancy. Timely blood pressure assessment and administration of magnesium sulphate are essential management. In this retrospective single-centre study we examined the timing and magnitude of maternal blood pressure before eclampsia, and whether magnesium sulp...

journal_title：International journal of obstetric anesthesia

authors： Dennis AT,Chambers E,Serang K

更新日期：2015-08-01 00:00:00

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

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

更新日期：2000-01-01 00:00:00