abstract：BACKGROUND:Previous studies using low-dose spinal anesthesia for cesarean delivery have focused on hypotension and efficacy. This study evaluated whether, using a combined spinal-epidural technique, there was a difference in onset of anesthesia for cesarean delivery between low-dose spinal with an immediate epidural lo...

journal_title：International journal of obstetric anesthesia

authors： Wang LZ,Zhang YF,Hu XX,Chang XY

更新日期：2014-02-01 00:00:00

abstract：BACKGROUND:Intrathecal tramadol combined with local anaesthetics has been used for postoperative analgesia following lower abdominal and perineal surgery. The present study evaluated the effect of intrathecal tramadol on spinal block characteristics and neonatal outcome after elective caesarean section. METHODS:Eighty...

journal_title：International journal of obstetric anesthesia

authors： Subedi A,Biswas BK,Tripathi M,Bhattarai BK,Pokharel K

更新日期：2013-11-01 00:00:00

abstract：:We describe the case of a 29-year-old parturient who, after undergoing elective cesarean delivery, displayed symptoms of lower extremity weakness and sensory deficit. Her past medical history was significant for asymptomatic Arnold Chiari Type I malformation and asthma. She had received spinal anesthesia that failed t...

journal_title：International journal of obstetric anesthesia

authors： Nguyen J,Abola R,Schabel J

更新日期：2013-04-01 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：:Magnesium is one of the most abundant cations in the human body. It is utilised extensively within the medical world and its role in the treatment of various conditions in both mother and fetus is increasing. This review focuses on the importance of magnesium for the obstetric anaesthetist and looks at the most recent...

journal_title：International journal of obstetric anesthesia

authors： Dean C,Douglas J

更新日期：2013-01-01 00:00:00

abstract：BACKGROUND:Inserting an intrathecal catheter after accidental dural puncture in parturients to prevent postdural puncture headache is becoming increasingly popular. We aimed to identify relevant published articles investigating this intervention and subject data to a meta-analysis. METHODS:A systematic literature sear...

journal_title：International journal of obstetric anesthesia

authors： Heesen M,Klöhr S,Rossaint R,Walters M,Straube S,van de Velde M

更新日期：2013-01-01 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：: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：:The incidence of obesity in pregnancy has increased rapidly in the last decade. Obesity is a risk factor for venous thromboembolism outside of pregnancy and previous studies of maternal death in the UK have identified obesity as a risk factor in pregnancy. As a result the Royal College of Obstetricians and Gynaecologi...

journal_title：International journal of obstetric anesthesia

authors： Morgan ES,Wilson E,Watkins T,Gao F,Hunt BJ

更新日期：2012-07-01 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:Spinal anesthesia is a standard technique for cesarean section but can cause hypotension which may be related to venous pooling secondary to progesterone-induced decreases in vascular tone. This study investigated the use of a sequential compression mechanical pump with thigh-high sleeves with compression cy...

journal_title：International journal of obstetric anesthesia

authors： Sujata N,Arora D,Panigrahi BP,Hanjoora VM

更新日期：2012-04-01 00:00:00

abstract：:We report the case of a 37-year-old postpartum patient who developed a contained subacute spinal subdural hematoma causing mass effect on the cauda equina and severe spinal stenosis after undergoing an epidural blood patch for postdural puncture headache. Recovery occurred following administration of oral steroids. ...

journal_title：International journal of obstetric anesthesia

authors： Verduzco LA,Atlas SW,Riley ET

更新日期：2012-04-01 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：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

abstract：:A 34-year-old multiparous woman with a breech presentation, intrauterine growth restriction and premature rupture of membranes was transferred to our referral unit at 33 weeks of gestation. She was diagnosed with Alagille syndrome soon after birth because of cholestasis and pruritus. Her condition was later complicate...

journal_title：International journal of obstetric anesthesia

authors： Rahmoune FC,Bruyère M,Tecsy M,Benhamou D

更新日期：2011-10-01 00:00:00

abstract：:We report a case of starvation-induced metabolic ketoacidosis in a previously healthy 29-year-old, nulliparous woman at 32 weeks of gestation. She was admitted to hospital with mild preeclampsia associated with persistent nausea and vomiting that progressed to severe preeclampsia requiring urgent control of hypertensi...

journal_title：International journal of obstetric anesthesia

authors： Patel A,Felstead D,Doraiswami M,Stocks GM,Waheed U

更新日期：2011-07-01 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: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：BACKGROUND:Ketamine at subanesthetic doses has analgesic properties that have been shown to reduce postoperative pain and morphine consumption. We hypothesized that intravenous ketamine 10mg administered during spinal anesthesia for cesarean delivery, in addition to intrathecal morphine and intravenous ketorolac, would...

journal_title：International journal of obstetric anesthesia

authors： Bauchat JR,Higgins N,Wojciechowski KG,McCarthy RJ,Toledo P,Wong CA

更新日期：2011-01-01 00:00:00

abstract：:We describe an uncommon cause of cardiogenic shock following cesarean delivery in a 24-year-old multiparous woman at 26 weeks of gestation. Hemodynamic instability was erroneously attributed to amniotic infection syndrome and sepsis, which resulted in delayed diagnosis and treatment of tuberculous constrictive pericar...

journal_title：International journal of obstetric anesthesia

authors： Brendt P,Herbstreit F,Peters J

更新日期：2010-10-01 00:00:00

abstract：BACKGROUND:Ropivacaine may be the ideal spinal anesthetic for postpartum tubal ligation due to its medium duration of action, low incidence of side effects and possibly reduced post-anesthetic care unit (PACU) stay. METHODS:Two prospective up-down sequential allocation studies were performed using hyperbaric spinal ro...

journal_title：International journal of obstetric anesthesia

authors： Panni MK,George RB,Allen TK,Olufolabi AJ,Schultz JR,Okumura M,Columb MO,Habib AS

更新日期：2010-10-01 00:00:00

abstract：:Headache is a common puerperal complaint. A wide variety of factors can be involved, ranging from hormonal shifts, physiological changes, and peripartum procedures that may precipitate, worsen, or cause troublesome headache. The differential diagnosis of postpartum headache is broad and potentially daunting to the var...

journal_title：International journal of obstetric anesthesia

authors： Klein AM,Loder E

更新日期：2010-10-01 00:00:00

abstract：:We report a case of H1N1 2009 influenza A, in a previously fit woman at 24 weeks of gestation, who presented atypically with abdominal pain. The infection was complicated by severe respiratory failure and acute respiratory distress syndrome, requiring ventilatory support, including extra-corporeal membrane oxygenation...

journal_title：International journal of obstetric anesthesia

authors： Robertson LC,Allen SH,Konamme SP,Chestnut J,Wilson P

更新日期：2010-10-01 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：: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：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：:Haemorrhage is a common complication of childbirth with 0.65% of deliveries associated with significant (>1500 mL) peripartum blood loss. Hypofibrinogenaemia secondary to dilutional and consumptive coagulopathies can be challenging to correct quickly with conventional blood and plasma therapy. Fibrinogen concentrate o...

journal_title：International journal of obstetric anesthesia

authors： Bell SF,Rayment R,Collins PW,Collis RE

更新日期：2010-04-01 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 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：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：BACKGROUND:Clinically overt infections of the epidural catheter skin entry site occur in approximately 1-5% of patients after a few days of catheterization but serious complications such as deep tissue infection or epidural abscess appear rare in the obstetric population. In recent years, sporadic reports and small ser...

journal_title：International journal of obstetric anesthesia

authors： Green LK,Paech MJ

更新日期：2010-01-01 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：:For parturients desiring labor analgesia who have contraindications to neuraxial techniques, intravenous opioid-based patient-controlled analgesia (IVPCA) offers a reasonable alternative, although incomplete analgesia and maternal and neonatal respiratory depression can occur. Dexmedetomidine, a highly selective alpha...

journal_title：International journal of obstetric anesthesia

authors： Palanisamy A,Klickovich RJ,Ramsay M,Ouyang DW,Tsen LC

更新日期：2009-07-01 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：:Anaphylactoid reaction to Syntocinon is rare, but has been described in the literature. The reactions described include patchy erythema, hypotension, bronchospasm and oxygen desaturation, but pulseless electrical activity following Syntocinon has not been reported. We present the case of a 34-year-old primigravida wit...

journal_title：International journal of obstetric anesthesia

authors： Pant D,Vohra VK,Pandey SS,Sood J

更新日期：2009-01-01 00:00:00

abstract：BACKGROUND:Epidural dose is often reduced in the second stage of labor with the intention of improving maternal expulsive efforts and decreasing the need for instrumental vaginal delivery (IVD). We conjectured that parturients requiring IVD would have had more analgesic interventions and requests to decrease analgesic ...

journal_title：International journal of obstetric anesthesia

authors： Toledo P,McCarthy RJ,Ebarvia MJ,Wong CA

更新日期：2008-10-01 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：BACKGROUND:This prospective, randomized study was performed to see if intermittent labor epidural analgesia was protective against maternal intrapartum fever, compared to continuous epidural infusion. METHODS:Ninety-two healthy, term, nulliparous women in spontaneous labor were assigned to either intermittent (ILEA) o...

journal_title：International journal of obstetric anesthesia

authors： Mantha VR,Vallejo MC,Ramesh V,Phelps AL,Ramanathan S

更新日期：2008-04-01 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：: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