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：:Congenital complete heart block is a rare phenomenon that may be discovered during pregnancy in patients who were previously asymptomatic. Peripartum management of these patients mandates a multidisciplinary approach with careful planning regarding indications for pacing, appropriate anesthetic technique, and continge...

journal_title：International journal of obstetric anesthesia

authors： Preston D,Klucsarits S,Moon T,Nasir D

更新日期：2020-11-01 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：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：BACKGROUND:Onset times and conditions for intubation after rocuronium versus suxamethonium at cesarean section have been evaluated, but no study thus far has examined the influence of these neuromuscular blocking drugs on the surgical conditions or their effect on the duration of surgery and the ease of fetal delivery....

journal_title：International journal of obstetric anesthesia

authors： Bláha J,Nosková P,Hlinecká K,Krakovská V,Fundová V,Bartošová T,Michálek P,Stříteský M

更新日期：2020-02-01 00:00:00

abstract：:Current pain and analgesic management strategies apply a standardized one-size-fits-all approach to women undergoing cesarean delivery. These standardized protocols do not account for significant variability in women's pain and may lead to under-treatment in patients with high analgesic needs and overtreatment, associ...

journal_title：International journal of obstetric anesthesia

authors： Carvalho B,Habib AS

更新日期：2019-11-01 00:00:00

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：:A 70 kg, 34-year-old woman at 29 weeks-of-gestation required intrauterine transfusion for Rh (D) alloimmunization. In the ambulatory treatment clinic, 19 mg of rocuronium was administered intramuscularly in split doses into the fetal buttock. The fetus moved and inadvertent maternal neuromuscular blockade occurred, le...

journal_title：International journal of obstetric anesthesia

authors： Munro A,McKeen D,Coolen J

更新日期：2019-08-01 00:00:00

abstract：INTRODUCTION:This retrospective, matched case-control cohort study describes the incidence, indications, anesthesia techniques and outcomes of pregnancies complicated by surgery in a single tertiary-referral hospital. METHODS:Retrospective review of the hospital records of 171 patients who had non-obstetric surgery in...

journal_title：International journal of obstetric anesthesia

authors： Devroe S,Bleeser T,Van de Velde M,Verbrugge L,De Buck F,Deprest J,Devlieger R,Rex S

更新日期：2019-08-01 00:00:00

abstract：BACKGROUND:The aim of this study was to describe the current obstetric anaesthetic practices in Austria by performing a comprehensive questionnaire survey. METHODS:A questionnaire was sent via email to key anaesthesiologists from obstetric anaesthesia departments of 81 hospitals registered at the Austrian Ministry of ...

journal_title：International journal of obstetric anesthesia

authors： Oji-Zurmeyer J,Ortner CM,Klein KU,Gries M,Kühn C,Schroffenegger T,Putz G,Jochberger S

更新日期：2019-08-01 00:00:00

abstract：:The opioid crisis has reached an unprecedented magnitude in the United States and worldwide, and data on opioid use and misuse in the obstetric population are extremely concerning. Despite an abundant number of studies evaluating strategies to prevent neonatal opioid withdrawal syndrome in babies born to mothers who a...

journal_title：International journal of obstetric anesthesia

authors： Landau R

更新日期：2019-08-01 00:00:00

abstract：BACKGROUND:ChloraPrep® is a skin antiseptic commonly used before neuraxial anesthesia. It is believed that skin must be allowed to dry to prevent nerve damage by seeding ChloraPrep® solution into the neuraxis. We aimed to determine ChloraPrep® drying time in pregnant women before initiation of neuraxial anesthesia. ME...

journal_title：International journal of obstetric anesthesia

authors： Gunka V,Soltani P,Astrakianakis G,Martinez M,Albert A,Taylor J,Kavanagh T

更新日期：2019-05-01 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：: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：BACKGROUND:Hypotension induced by spinal anesthesia for cesarean section causes a decrease in maternal regional cerebral blood volume and oxygenation. We used near-infrared spectroscopy to determine whether prophylactic infusion of phenylephrine attenuates these decreases. METHODS:Sixty patients undergoing bupivacaine...

journal_title：International journal of obstetric anesthesia

authors： Hirose N,Kondo Y,Maeda T,Matsui M,Matsuda M,Suzuki T

更新日期：2019-02-01 00:00:00

abstract：:Pulmonary atresia witha ventricular septal defect and major aortopulmonary collateral arteries is an extremely rare congenital disorder characterized by a high risk of maternal mortality. We present the case of a 24-year-old primigravid woman with uncorrected pulmonary atresia, ventricular septal defect and major aort...

journal_title：International journal of obstetric anesthesia

authors： Gang SP,Fang KY,Ma Y,Zhang FX,Xiang DK,Liu XL,Wang RP,Chen DD,Ma XW

更新日期：2018-11-01 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：BACKGROUND:Administration of packed red blood cells (PRBC) and fresh frozen plasma (FFP) to women with postpartum hemorrhage (PPH) before and after introduction of a massive transfusion protocol. METHODS:The retrospective PPH study cohort of two tertiary centers was identified using blood bank records, verified by pat...

journal_title：International journal of obstetric anesthesia

authors： Weiniger CF,Yakirevich-Amir N,Sela HY,Gural A,Ioscovich A,Einav S

更新日期：2018-11-01 00:00:00

abstract：BACKGROUND:Post-dural puncture headache following trauma to the dural membrane during neuraxial anaesthesia occurs in 0.13-6.5% of pregnant patients. Identifying factors beyond individual performance that contribute to this adverse event is crucial to developing improvement strategies. METHODS:We used a root cause ana...

journal_title：International journal of obstetric anesthesia

authors： Haller G,Cornet J,Boldi MO,Myers C,Savoldelli G,Kern C

更新日期：2018-11-01 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：:Blood pressure monitoring is a critical component of antenatal, peripartum and postnatal care. The accurate detection and treatment of abnormal blood pressure during pregnancy is essential for the optimisation of maternal and neonatal outcomes. Increasing maternal obesity in western populations is well documented. The...

journal_title：International journal of obstetric anesthesia

authors： Eley VA,Christensen R,Kumar S,Callaway LK

更新日期：2018-08-01 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：INTRODUCTION:Accurately predicting cesarean delivery case duration is an integral component of designing appropriate workflow protocols and ensuring adequate provider availability. Our primary objective was to describe the variability of case duration, based on factors that we hypothesized would be influential, such as...

journal_title：International journal of obstetric anesthesia

authors： Harris MJ,Gabriel RA,Dutton RP,Urman RD

更新日期：2018-05-01 00:00:00

abstract：BACKGROUND:China has one of the highest rates of caesarean delivery in the world. The aim of this study was to investigate the incidence and risk factors for chronic pain after caesarean delivery in a Chinese cohort. METHODS:Patients undergoing elective caesarean delivery with a Pfannenstiel incision under spinal anae...

journal_title：International journal of obstetric anesthesia

authors： Wang LZ,Wei CN,Xiao F,Chang XY,Zhang YF

更新日期：2018-05-01 00:00:00

abstract：INTRODUCTION:Delayed respiratory depression is a feared complication of intrathecal morphine in patients undergoing cesarean delivery. The incidence, timing and risk factors for hypoxia in this population are not known. METHODS:Patients undergoing cesarean delivery under spinal anesthesia at a tertiary care center fro...

journal_title：International journal of obstetric anesthesia

authors： Ladha KS,Kato R,Tsen LC,Bateman BT,Okutomi T

更新日期：2017-11-01 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：: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：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：:Stiff person syndrome is a rare neurologic disorder with an estimated incidence of 1:1000000. The underlying pathophysiology is truncal and proximal limb muscle stiffness resulting from continuous co-contracture of agonist and antagonist muscle groups concomitant with superimposed episodic muscle spasms. Loss of gamma...

journal_title：International journal of obstetric anesthesia

authors： Boettcher BT,Muravyea M,Kuo C,Drexler C,Pagel PS

更新日期：2016-08-01 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：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：BACKGROUND:Epidural analgesia and remifentanil patient-controlled analgesia are two popular techniques for the treatment of labour pain, each with its own efficacy and toxicity. METHODS:Parturients requesting analgesia were randomly assigned to either patient-controlled intravenous remifentanil or epidural analgesia. ...

journal_title：International journal of obstetric anesthesia

authors： Douma MR,Stienstra R,Middeldorp JM,Arbous MS,Dahan A

更新日期：2015-11-01 00:00:00

abstract：BACKGROUND:A head-elevation pillow places a patient in a ramped posture, which maximises the view of the larynx during laryngoscopy, particularly in obese parturients. In our institution an elevation pillow is used pre-emptively for neuraxial anaesthesia. We hypothesised that head-elevation may impair cephalad spread o...

journal_title：International journal of obstetric anesthesia

authors： Elfil H,Crowley L,Segurado R,Spring A

更新日期：2015-11-01 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: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：:In December 2014, the latest UK Confidential Enquiry into Maternal Deaths report was published, covering the surveillance period from 2009 to 2012. This is the first report since a significant change in the organisational structure of the body responsible for surveillance and dissemination of reports. The Confidential...

journal_title：International journal of obstetric anesthesia

authors： Freedman RL,Lucas DN

更新日期：2015-05-01 00:00:00

abstract：:The past two decades has seen a growing understanding that health care leads to harm in a large number of patients. With this insight has come an understanding that clinicians who care for patients who are harmed experience an understandable and predictable emotional response. After an adverse event, medical care give...

journal_title：International journal of obstetric anesthesia

authors： Pratt SD,Jachna BR

更新日期：2015-02-01 00:00:00

abstract：:Paracetamol is the most frequently used analgesic during pregnancy and the most common drug involved in suicidal overdose in the UK. Manifestation of toxicity classically occurs over four phases with clinical and laboratory features resembling HELLP (haemolysis, elevated liver enzymes, low platelets) syndrome. We repo...

journal_title：International journal of obstetric anesthesia

authors： Mills AT,Davidson ME,Young P

更新日期：2014-05-01 00:00:00

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：:Supraventricular tachycardia is uncommon in pregnancy. It is defined as intermittent pathological and usually narrow complex tachycardia >120 beats/min which originates above the ventricle, excluding atrial fibrillation, flutter and multifocal atrial tachycardia. It is usually self-limiting or relatively easily treate...

journal_title：International journal of obstetric anesthesia

authors： Dennis AT,Gerstman MD

更新日期：2014-02-01 00:00:00