abstract：:In the UK, maternal mortality due to haemorrhage appears to be rising, with obstetric haemorrhage accounting for 3-4% of the red cells transfused. Allogeneic blood transfusion carries risks such as administration errors, transmitted infections and immunological reactions. The supply of blood is decreasing, partly due ...

journal_title：International journal of obstetric anesthesia

authors： Catling S

更新日期：2007-07-01 00:00:00

abstract：:Kartagener's syndrome is an inherited disease characterized by a triad of symptoms: bronchiectasis, situs inversus and sinusitis resulting from defective cilial motility. There are few reports in the literature regarding the optimum anesthetic technique in patients with Kartagener's syndrome. The main anesthetic consi...

journal_title：International journal of obstetric anesthesia

authors： Gávai M,Hupuczi P,Berkes E,Beke A,Hruby E,Murber A,Urbancsek J,Papp Z

更新日期：2007-07-01 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：BACKGROUND:Superficial bleeding after labor epidural catheter placement is a common phenomenon. In addition to delaying securing the epidural catheter, it may loosen the adhesive catheter dressing. The primary aim of this study was to determine whether skin infiltration with epinephrine-containing rather than plain lid...

journal_title：International journal of obstetric anesthesia

authors： Carvalho B,Fuller A,Brummel C,Cohen SE

更新日期：2007-04-01 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：BACKGROUND:We wished to investigate the feasibility of an ultra low-dose combined spinal-epidural technique in providing surgical anesthesia for uncomplicated cesarean deliveries in a randomized, double-blind controlled trial. METHOD:Forty-four normotensive, non-obese patients were randomized to receive either intrath...

journal_title：International journal of obstetric anesthesia

authors： Teoh WH,Thomas E,Tan HM

更新日期：2006-10-01 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 37-year-old female, gravida 1 para 0, in active labor at term, with a cervical spinal cord stimulator in situ, presented for epidural analgesia for labor. She had received the cervical spinal cord stimulator some 30 months before, to treat chronic regional pain syndrome I. She was taking no medication, and was thin ...

journal_title：International journal of obstetric anesthesia

authors： Hanson JL,Goodman EJ

更新日期：2006-07-01 00:00:00

abstract：:We present a case of a severe systemic (paradoxical) air embolism occurring during spinal anesthesia for cesarean delivery in an otherwise healthy 35-year-old parturient. Uncomplicated spinal anesthesia and satisfactory surgical anesthesia were obtained; no sedatives were used and the patient was awake and alert and t...

journal_title：International journal of obstetric anesthesia

authors： Nims M,Hallonquist H,Camann W

更新日期：2006-04-01 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：BACKGROUND:We have previously reported that measurement of non-invasive blood pressure during caesarean section under spinal anaesthesia fails in over 50% of cases. We felt that errors would be less likely if blood pressure could be measured at the ankle as it is immobile during caesarean section. The purpose of our st...

journal_title：International journal of obstetric anesthesia

authors： Sanghera S,North A,Abernethy S,Wrench I

更新日期：2006-01-01 00:00:00

abstract：:Neurofibromatosis type 2 is an extremely rare form of neurofibromatosis characterized by central nervous system involvement with bilateral vestibular schwannomas and spinal tumors. Anesthetic management of a parturient with neurofibromatosis type 2 has not been fully reported, and the condition is challenging to obste...

journal_title：International journal of obstetric anesthesia

authors： Sakai T,Vallejo MC,Shannon KT

更新日期：2005-10-01 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：: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：: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：: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：: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

authors： Paech MJ,Pavy TJ

更新日期：2004-07-01 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：:We report the successful management of labor and delivery of a parturient with a history of spontaneous bilateral vertebral artery dissection. We also outline the reasons why the obstetric anesthetist should be aware of this condition as well as other cranio-cervical dissections. ...

journal_title：International journal of obstetric anesthesia

authors： O'Rourke N,Wollman L,Camann W

更新日期：2004-01-01 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：:Rupture of an aneurysm of the renal or splenic arteries remains a rare but catastrophic complication of pregnancy with a generally dismal prognosis for both mother and fetus. Improvements in abdominal imaging for incidental conditions are unlikely to lead to earlier diagnosis of such abnormalities antenatally, hence c...

journal_title：International journal of obstetric anesthesia

authors： Popham P,Buettner A

更新日期：2003-04-01 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：:In order to estimate how long a medication can remain prepared before the integrity or concentration of the drug is compromised, we assessed the sterility and potency of medications commonly used in our obstetric anesthesia practice. Our goal was to evaluate the following drugs over a 30-day period: epinephrine, atrop...

journal_title：International journal of obstetric anesthesia

authors： Wagner DS,Naughton NN,Pierson C,Michel T

更新日期：2002-10-01 00:00:00

abstract：:The haemodynamic effects of oxytocin receive scant attention in pharmacology texts, but may be clinically significant in vulnerable patients. Despite prescriber information recommending a dose of 5 international units by slow i.v. injection, it is the authors' experience that it is very common practice in the UK to gi...

journal_title：International journal of obstetric anesthesia

authors： Pinder AJ,Dresner M,Calow C,Shorten GD,O'Riordan J,Johnson R

更新日期：2002-07-01 00:00:00

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

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

更新日期：2002-07-01 00:00:00

abstract：:This study explores which concentrations of local anesthetics might be expected to inhibit the growth of Staphylococcus aureus. Serial dilutions were made of 0.5% and 0.75% bupivacaine, 2% and 5% lidocaine, 2% and 3% chloroprocaine, and 0.2% and 1% ropivacaine. To each concentration of local anesthetic solution, Muell...

journal_title：International journal of obstetric anesthesia

authors： Goodman EJ,Jacobs MR,Bajaksouzian S,Windau AR,Dagirmanjian JP

更新日期：2002-04-01 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：: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：: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：: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 C...

journal_title：International journal of obstetric anesthesia

authors： Penney DJ,Smallman JM

更新日期：2001-04-01 00:00:00

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

authors： Nanson JK,Sheikh A

更新日期：2000-10-01 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：: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：: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：: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：: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

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

更新日期：1999-04-01 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：: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：: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