abstract：:Women requesting epidural analgesia were randomized to receive one of three loading doses. Group 1 received a single dose of bupivacaine 9.375 mg (15 ml of 0.0625%) containing fentanyl 37.5 microg and adrenaline 37.5 microg group 2 received a single dose of bupivacaine 15 mg (15 ml of 0.1%) containing fentanyl 30 micr...

journal_title：International journal of obstetric anesthesia

authors： Scrutton MJ,Porter JS,O'Sullivan G

更新日期：1998-07-01 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：:The interaction between mivacurium and magnesium sulphate was investigated in a group of parturients undergoing caesarean section under general anaesthesia. Thirty parturients were studied; 10 normotensive controls (group NT), 10 hypertensive controls (group HT) and 10 hypertensives who received magnesium sulphate (gr...

journal_title：International journal of obstetric anesthesia

authors： Hodgson RE,Rout CC,Rocke DA,Louw NJ

更新日期：1998-01-01 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：: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：:Two cases of severe respiratory depression in the obstetric population are presented. The first occurred after intrathecal injection of a modest dose (50 mg) of meperidine. The second followed intrathecal administration of 10 microg of sufentanil after intravenous fentanyl. These cases illustrate the potential gravity...

journal_title：International journal of obstetric anesthesia

authors： Jaffee JB,Drease GE,Kelly T,Newman LM

更新日期：1997-07-01 00:00:00

abstract：:It is generally believed that bolus injections of local anesthetic through an epidural needle produce a more rapid onset of blockade, but at the expense of an increased incidence and severity of hypotension, whereas intermittent injections through a catheter take longer to achieve adequate anesthesia but with a lower ...

journal_title：International journal of obstetric anesthesia

authors： Husain FJ,Herman NL,Karuparthy VR,Knape KG,Downing JW

更新日期：1997-04-01 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：:The marked reduction in the number of cases related to the provision of anaesthesia, included in the triennial Reports on Confidential Enquiries into Maternal Deaths in the UK, may limit the educational value of such reports for anaesthetists in the future. The collection, analysis and reporting of untoward events rel...

journal_title：International journal of obstetric anesthesia

authors： McBrien ME,Bali IM

更新日期：1996-10-01 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：:The report of the Expert Maternity Group 'Changing Childbirth' (The Cumberlege Report) advocates a greater role for midwives in the care of the low risk pregnant woman, and has promoted much discussion about the future development of maternity services in the UK. At Leicester Royal Infirmary NHS Trust the 'Home from H...

journal_title：International journal of obstetric anesthesia

authors： Pickett JA,Oppenheimer CA,May AE

更新日期：1996-07-01 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：: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：: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：:The administration of intravenous dantrolene in a parturient susceptible to malignant hyperthermia has been associated with post partum uterine atony. We examined the effect of dantrolene sodium for injection (Dantrium Intravenous) on spontaneous contractility of uterine smooth muscle from women in term pregnancy in a...

journal_title：International journal of obstetric anesthesia

authors： Shin YK,Kim YD,Collea JV,Belcher MD

更新日期：1995-10-01 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：:We present our own single-space method for performing combined spinal epidural anaesthesia. A spinal introducer and a Tuohy needle are sited in the same interspace. After insertion of the epidural catheter the introducer is used as a guide for a 25 gauge spinal needle. The advantages of this technique over other metho...

journal_title：International journal of obstetric anesthesia

authors： Turner MA,Reifenberg NA

更新日期：1995-07-01 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：: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：:Three cases are described in which epidural analgesia was performed during labour using an infusion of bupivacaine 0.125-0.25%. When, in all 3 cases, caesarean section was required for failure to progress, hyperbaric bupivacaine was given in doses of 10 mg, 12.5 mg and 15 mg respectively. Within 2-4 min all 3 patients...

journal_title：International journal of obstetric anesthesia

authors： Gupta A,Enlund G,Bengtsson M,Sjöberg F

更新日期：1994-07-01 00:00:00

abstract：:The experiences of 890 parturients were studied across Finland during one week to determine how they experienced labour pain and how effective they regarded the means to alleviate it. The majority of women (72%) had been afraid of labour and 88% had intended to request some pharmacological pain relief. 84% of primipar...

journal_title：International journal of obstetric anesthesia

authors： Kangas-Saarela T,Kangas-Kärki K

更新日期：1994-04-01 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：:Any convulsion during labour requires immediate action, but before this can occur a correct diagnosis must be made. Here we describe a case where a 'fit' was wrongly attributed to epidural analgesia. This was in fact a dystonic reaction secondary to undeclared self-medication with metoclopramide. It is therefore impor...

journal_title：International journal of obstetric anesthesia

authors： Jankowski S,Arrigoni PB

更新日期：1993-01-01 00:00:00

abstract：:A case is described of a previously healthy obese woman in her fourth pregnancy who presented for caesarean section due to cephalopelvic disproportion (CPD). Forty minutes after a spinal anaesthetic a healthy child was delivered. Shortly after the injection of ergometrine and Syntocinon into the uterus, the patient de...

journal_title：International journal of obstetric anesthesia

authors： Sjöberg F,Gupta A,Bengtsson M

更新日期：1993-01-01 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：: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：:Pre-existing epidural analgesia was rapidly extended in 36 consecutive patients presenting for emergency caesarean section by using 20 ml of 2% lignocaine + 1/200,000 adrenaline freshly prepared given by slow bolus injection. Despite a wide range of initial analgesic sensory levels the technique produced blocks that w...

journal_title：International journal of obstetric anesthesia

authors： Price ML,Reynolds F,Morgan BM

更新日期：1991-09-01 00:00:00