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

abstract：BACKGROUND:We investigated the correlation between lumbar epidural analgesia onset time and pain intensity at 60 and 120 min after initiation. METHODS:We conducted a prospective observational study of nulliparous women receiving lumbar epidural analgesia (initial bolus 15 mL bupivacaine 0.1% with fentanyl 3.33 μg/mL),...

journal_title：International journal of obstetric anesthesia

authors： Nevo A,Aptekman B,Goren O,Matot I,Weiniger CF

更新日期：2019-11-01 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：: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

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

更新日期：1994-10-01 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: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：:Pregnancy has been reported to enhance the sensitivity of nerves to local anesthetics and to decrease anesthetic requirements during regional anesthesia. In this study, whether pregnancy increased the efficacy of lumbar epidural anesthesia was evaluated. Two populations (14 pregnant and 14 non-pregnant women) undergoi...

journal_title：International journal of obstetric anesthesia

authors： Arakawa M

更新日期：2004-04-01 00:00:00

abstract：BACKGROUND:Postpartum depression (PPD) is the most common complication after childbirth, affecting 10-15% of women. It is associated with serious long-term consequences for the mother and family. Whether or not neuraxial labor analgesia mitigates the risk is uncertain and controversial. The purpose of this review was t...

journal_title：International journal of obstetric anesthesia

authors： Orbach-Zinger S,Heesen M,Grigoriadis S,Heesen P,Halpern S

更新日期：2020-10-17 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：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：: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: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：: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：BACKGROUND:A structured approach to hemorrhagic emergencies in obstetrics has gained popularity with the implementation of massive hemorrhage protocols. The trauma literature suggests that routine quality reviews should be in place to improve patient outcomes. The aim of this study was to develop quality indicators and...

journal_title：International journal of obstetric anesthesia

authors： Margarido C,Ferns J,Chin V,Ribeiro T,Nascimento B,Barrett J,Herer E,Halpern S,Andrews L,Ballatyne G,Chapmam M,Gomes J,Callum J

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:Most pregnant women who self-report penicillin allergy are not truly penicillin-allergic and this misunderstanding often leads to administration of inappropriate antibiotic therapy. Decision algorithms have been developed to guide antibiotic selection but major discrepancies have been reported between guidel...

journal_title：International journal of obstetric anesthesia

authors： Thellier C,Subtil D,Pelletier de Chambure D,Grandbastien B,Catteau C,Beaugendre A,Poitrenaud D,Prevotat A,Richart P,Faure K,Le Guern R

更新日期：2020-02-01 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

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：BACKGROUND:Early studies suggested that ropivacaine had clinical advantages over bupivacaine with respect to cardiotoxicity and motor block, and that it was suitable for epidural caesarean section. This study was set up to compare epidural 0.75% ropivacaine with a popular bupivacaine/fentanyl mixture for elective caesa...

journal_title：International journal of obstetric anesthesia

authors： Christelis N,Harrad J,Howell PR

更新日期：2005-07-01 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：: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

authors： Boyle RK

更新日期：2003-07-01 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：: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

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

更新日期：2016-12-01 00:00:00

abstract：:We present two cases in which anesthesia was needed for the reduction of uterine incarceration. The first case was managed with a combined spinal/epidural technique and the second with a single intrathecal injection of opioid and low dose local anesthetic. The anesthetic issues pertinent to the reduction of an incarce...

journal_title：International journal of obstetric anesthesia

authors： Algra LJ,Fogel ST,Norris MC

更新日期：1999-04-01 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：: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：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：: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

authors： Cohen V,Powell E,Lake C

更新日期：2011-07-01 00:00:00

abstract：BACKGROUND:In South Africa, hypertensive disorders of pregnancy are the leading cause of maternal mortality. More than 50% of anaesthesia-related maternal deaths are attributed to complications of airway management. We compared the prevalence and risk factors for hypoxaemia during induction of general anaesthesia in pa...

journal_title：International journal of obstetric anesthesia

authors： Smit MI,du Toit L,Dyer RA,van Dyk D,Reed AR,Lombard CJ,Hofmeyr R

更新日期：2020-11-04 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：: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

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

更新日期：2015-11-01 00:00:00

abstract：BACKGROUND:After accidental dural puncture in labour it is suggested that inserting an intrathecal catheter and converting to spinal analgesia reduces postdural puncture headache and epidural blood patch rates. This treatment has never been tested in a controlled manner. METHODS:Thirty-four hospitals were randomised t...

journal_title：International journal of obstetric anesthesia

authors： Russell IF

更新日期：2012-01-01 00:00:00