2,275 results match your criteria International Journal of Obstetric Anesthesia [Journal]


Post-cesarean delivery pain. Management of the opioid-dependent patient before, during and after cesarean delivery.

Authors:
R Landau

Int J Obstet Anesth 2019 Feb 10. Epub 2019 Feb 10.

Virginia Apgar Professor of Anesthesiology, Department of Anesthesiology, Columbia University Medical Center, Columbia University College of Physicians & Surgeons, New York, United States. Electronic address:

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 mothers who are chronic opioid users, in babies born to mothers using chronic opioids, numerous questions remain unanswered, including (1) how to optimally manage postpartum pain in opioid-dependent patients (2) how to reconcile buprenorphine and methadone use with intrapartum and postpartum analgesia, so as to avoid opioid withdrawal during and after delivery (3) how to safely and effectively provide a stepwise multimodal approach that incorporates systemic opioid-sparing approaches, such as neuraxial opioids, clonidine, ketamine, gabapentin, and regional anesthetic blocks, to ensure adequate pain relief while avoiding opioid withdrawal (4) how to optimally manage postpartum recovery and (5) how to avoid excessive opioid prescription and possibly left-over opioids that may promote persistent use, misuse and diversion. With the recognition that an increasing number of pregnant women are taking chronic opioids, the goals of this review article are to summarize the existing literature on post-cesarean pain management in the obstetric patient with an opioid-use disorder; and to provide clinicians with a stepwise approach for management before, as well as during and after, cesarean delivery of women who have been chronically using opioids during their pregnancy. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.01.011DOI Listing
February 2019

What's new in obstetric anesthesia in 2017?

Authors:
A S Habib

Int J Obstet Anesth 2019 Mar 28. Epub 2019 Mar 28.

Department of Anesthesiology, Duke University School of Medicine, Durham, NC, USA. Electronic address:

The Gerard W. Ostheimer lecture is delivered every year at the annual meeting of the Society for Obstetric Anesthesia and Perinatology. The lecture aims to provide the anesthesiologist who provides obstetric anesthesia care with a review of the most relevant articles that were published in the preceding calendar year. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.03.005DOI Listing
March 2019
2 Reads

Readability, content, quality and accuracy assessment of internet-based patient education materials relating to labor analgesia.

Int J Obstet Anesth 2019 Jan 8. Epub 2019 Jan 8.

Section of Obstetric Anesthesiology, Department of Anesthesiology, Cedars-Sinai Medical Center, USA.

Background: With over 90% of parturients searching the internet for health information, the quality of information is important. Web-based patient education materials (PEMs) related to labor analgesia are frequently of low readability. This study compares the readability, content, quality and accuracy of labor analgesia-related PEMs from relevant healthcare society websites and the top internet search results. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0959289X183027
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http://dx.doi.org/10.1016/j.ijoa.2019.01.003DOI Listing
January 2019
1 Read

Point-of-care coagulation testing for obstetric hemorrhage: time for a theranostic approach?

Int J Obstet Anesth 2019 Apr 5. Epub 2019 Apr 5.

Brigham and Women's Hospital, Department of Anesthesiology, Perioperative, and Pain Medicine, Boston, MA, USA. Electronic address:

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http://dx.doi.org/10.1016/j.ijoa.2019.04.001DOI Listing

Blindspots and limitations in viscoelastic testing in pregnancy.

Int J Obstet Anesth 2019 Mar 29. Epub 2019 Mar 29.

Department of Anesthesiology and Intensive Care Medicine, University Hospital Essen, Essen, Germany; TEM Innovations GmbH, Munich, Germany.

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http://dx.doi.org/10.1016/j.ijoa.2019.03.008DOI Listing

The erector spinae plane block for radicular pain during pregnancy.

Int J Obstet Anesth 2019 Feb 26. Epub 2019 Feb 26.

Department of Anesthesia, Pain Unit, Clinica Las Americas Medellin, Colombia.

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http://dx.doi.org/10.1016/j.ijoa.2019.02.009DOI Listing
February 2019

Evaluation of the Obstetric Quality-of-Recovery score (ObsQoR-11) following non-elective caesarean delivery.

Int J Obstet Anesth 2019 Feb 2. Epub 2019 Feb 2.

University College London Hospital, Honorary Senior Lecturer, University College London, London, UK.

Background: Few robust scoring tools exist to assess recovery following caesarean delivery (CD). We evaluated a new obstetric quality of recovery score (ObsQoR-11, initially formulated for elective CD) following non-elective CD.

Methods: ObsQoR-11 questionnaires were completed by women at day one post non-elective CD. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0959289X183051
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http://dx.doi.org/10.1016/j.ijoa.2019.01.010DOI Listing
February 2019
3 Reads

Which anesthetic technique should be used for cesarean section in the case of Horner's syndrome associated with epidural analgesia in labor?

Authors:
L Bouvet D Chassard

Int J Obstet Anesth 2019 Feb 26. Epub 2019 Feb 26.

Service d'anesthésie réanimation, Hôpital femme mère enfant, Bron, France; Université de Lyon, Lyon, France. Electronic address:

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http://dx.doi.org/10.1016/j.ijoa.2019.02.010DOI Listing
February 2019
1 Read

Kyphomelic dysplasia, Pierre Robin Sequence and pregnant - a.

Authors:
A Hughes S Cooper

Int J Obstet Anesth 2019 Feb 22. Epub 2019 Feb 22.

Bradford Royal Infirmary, Bradford, West Yorkshire, UK.

We present the anaesthetic management of a parturient with kyphomelic dysplasia and Pierre Robin Sequence who underwent elective caesarean delivery. Potential anaesthetic issues and management strategies are discussed. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.02.007DOI Listing
February 2019
1 Read

In reply: Which anaesthesia for cesarean section in case of Horner's syndrome in women receiving epidural labor analgesia?

Int J Obstet Anesth 2019 Feb 26. Epub 2019 Feb 26.

Manchester University Hospital NHS Foundation Trust, St Mary's Hospital, Manchester, United Kingdom. Electronic address:

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http://dx.doi.org/10.1016/j.ijoa.2019.02.011DOI Listing
February 2019

Exploring the challenges of task-centred training in obstetric anaesthesia in the operating theatre environment.

Int J Obstet Anesth 2019 Feb 14. Epub 2019 Feb 14.

Women's Anaesthesia, KK Women's and Children's Hospital, Singapore.

Background: Task-centred learning forms the basis of procedural training in obstetric anaesthesia. We observed that our residents were not building their competence from experiential practice in the operating theatre. We used a broad-based framework to explore the challenges encountered by the residents and clinical supervisors in the learning and teaching of obstetric anaesthesia. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.02.003DOI Listing
February 2019

National survey of obstetric anaesthesia clinical practices in the republic of Austria.

Int J Obstet Anesth 2019 Feb 15. Epub 2019 Feb 15.

Department of Anaesthesiology and Critical Care Medicine, Medical University of Innsbruck, 6020 Innsbruck, Austria.

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 Health.

Results: Of 81 departments contacted, 65 (80%), covering 84% of annual births in Austria, responded to the 82-question survey. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0959289X183022
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http://dx.doi.org/10.1016/j.ijoa.2019.02.002DOI Listing
February 2019
5 Reads

Rotational thromboelastometry as a tool in the diagnosis and management of amniotic fluid embolism.

Int J Obstet Anesth 2019 Feb 16. Epub 2019 Feb 16.

Département d'anesthésie-réanimation, hôpital Antoine Béclère, Clamart, France. Electronic address:

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http://dx.doi.org/10.1016/j.ijoa.2019.02.005DOI Listing
February 2019
1 Read

Intravenous dexmedetomidine.

Authors:
D R Gambling

Int J Obstet Anesth 2019 Feb 13. Epub 2019 Feb 13.

Department of Anesthesiology, Sharp Mary Birch Hospital for Women and Newborns, San Diego, CA, USA. Electronic address:

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http://dx.doi.org/10.1016/j.ijoa.2019.02.004DOI Listing
February 2019

Anaesthetic management of postural orthostatic tachycardia syndrome presenting during pregnancy.

Int J Obstet Anesth 2019 Feb 8. Epub 2019 Feb 8.

Anaesthetic Department, Royal Infirmary of Edinburgh, Edinburgh, UK.

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http://dx.doi.org/10.1016/j.ijoa.2019.02.001DOI Listing
February 2019

A randomised comparison of C-MAC™ and King Vision® videolaryngoscopes with direct laryngoscopy in 180 obstetric patients.

Int J Obstet Anesth 2018 Dec 29. Epub 2018 Dec 29.

Department of Anaesthesiology and Intensive Therapy, University Medical Centre Ljubljana, Ljubljana, Slovenia; Institute of Anatomy, Medical Faculty Ljubljana, Vrazov trg 2, Ljubljana, Slovenia. Electronic address:

Background: Current evidence suggests that there is uncertainty about which videolaryngoscope performs best in obstetric anaesthesia. The aim of this study was to compare C-MAC and King Vision® videolaryngoscopes and direct laryngoscopy for tracheal intubation of patients undergoing caesarean section.

Methods: One hundred and eighty women were randomly assigned. Read More

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http://dx.doi.org/10.1016/j.ijoa.2018.12.008DOI Listing
December 2018

Hepatic adenoma during pregnancy and anesthetic management.

Int J Obstet Anesth 2019 Jan 12. Epub 2019 Jan 12.

Montefiore Medical Center, Jack D Weiler Hospital, Department of Obstetric Anesthesiology, 1825 Eastchester Road, Bronx, NY 10461, United States of America. Electronic address:

We report the case of a 24-year-old woman with a large hepatic adenoma diagnosed in the third trimester of pregnancy. The adenoma was at risk of rupture. She underwent scheduled preterm cesarean delivery under combined spinal-epidural anesthesia, followed by transarterial embolization on postpartum day six. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.01.007DOI Listing
January 2019
4 Reads

Design errors in vital sign charts used in consultant-led maternity units in the United Kingdom.

Int J Obstet Anesth 2019 Jan 8. Epub 2019 Jan 8.

Centre for Midwifery, Maternal & Perinatal Health, Bournemouth University, Bournemouth, UK.

Background: Paper-based charts remain the principal means of documenting the vital signs of hospitalised pregnant and postnatal women. However, poor chart design may contribute to both incorrect charting of data and clinical responses. We decided to identify design faults that might have an adverse clinical impact. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.01.001DOI Listing
January 2019

Anesthesia for non-obstetric surgery during pregnancy in a tertiary referral center: a 16-year retrospective, matched case-control, cohort study.

Int J Obstet Anesth 2019 Jan 12. Epub 2019 Jan 12.

Department of Anesthesiology, University Hospitals of the KU Leuven, Herestraat 49, 3000 Leuven, Belgium; Department of Cardiovascular Sciences, KU Leuven, Herestraat 49, 3000 Leuven, Belgium.

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 the current pregnancy, between 2001 and 2016. Pregnancy outcomes of these women were firstly compared with all contemporary non-exposed patients (n=35 411), and secondly with 684 non-exposed control patients, matched for age, time of delivery and parity. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.01.006DOI Listing
January 2019
5 Reads

Metaraminol use during spinal anaesthesia for caesarean section: a meta-analysis of randomised controlled trials.

Int J Obstet Anesth 2019 Jan 25. Epub 2019 Jan 25.

Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei City, Taiwan; Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan; Center for Evidence-Based Health Care, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan. Electronic address:

Introduction: During caesarean section, the use of a vasopressor is often required to achieve haemodynamic stability of the parturient. Metaraminol is a vasopressor used in this context in some countries. However, the differences between metaraminol and other vasopressors remain unclear. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.01.009DOI Listing
January 2019
1 Read

Propofol, Zola, and the modern obstetric rapid sequence induction.

Authors:
E-J Smith P Groves

Int J Obstet Anesth 2019 Jan 11. Epub 2019 Jan 11.

Hospital NHS Foundation Trust, London, United Kingdom.

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http://dx.doi.org/10.1016/j.ijoa.2019.01.005DOI Listing
January 2019
1 Read

Maternal respiratory distress and successful reversal with sugammadex during intrauterine transfusion with fetal paralysis.

Int J Obstet Anesth 2019 Jan 8. Epub 2019 Jan 8.

Department of Obstetrics and Gynaecology, IWK Health Centre, Halifax, Nova Scotia, Canada.

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, leading to respiratory distress. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.01.002DOI Listing
January 2019
3 Reads

Baseline parameters for rotational thromboelastometry (ROTEM®) in healthy women undergoing elective caesarean delivery: a prospective observational study in Australia.

Int J Obstet Anesth 2019 Jan 16. Epub 2019 Jan 16.

Department of Anaesthesia and Perioperative Services, The Royal Brisbane and Women's Hospital, QLD, Australia; The University of Queensland, Brisbane, QLD, Australia.

Background: Formal reference ranges for rotational thromboelastometry (ROTEM®) in pregnancy have not been obtained in the recommended minimum sample size of 120. This prospective observational study aimed to establish baseline parameters in an Australian population of women undergoing elective caesarean delivery. The secondary aim was to compare these reference ranges with those from prior studies and the manufacturer. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.01.008DOI Listing
January 2019
1 Read

The comparative accuracy of a handheld and console ultrasound device for neuraxial depth and landmark assessment.

Int J Obstet Anesth 2019 Jan 11. Epub 2019 Jan 11.

Division of Anesthesia, Critical Care and Pain, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

Background: The study aimed to compare the accuracy of epidural depth estimation of a handheld ultrasound device, with an integrated algorithm that estimates epidural depth (AU; Accuro, Rivanna Medical), to that of a console ultrasound machine (GU; GE LOGIC S8).

Methods: Women requesting labor epidural analgesia consented to this prospective cohort study. The L2/3, L3/4, and L4/5 interspaces and the respective depths to the epidural space were identified, marked and measured using an AU and GU. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.01.004DOI Listing
January 2019
1 Read

Optic nerve ultrasonography for evaluating increased intracranial pressure in severe preeclampsia.

Int J Obstet Anesth 2019 Jan 6. Epub 2019 Jan 6.

Department of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana", University of Salerno, Salerno, Italy.

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http://dx.doi.org/10.1016/j.ijoa.2018.12.010DOI Listing
January 2019
2 Reads

Reply: Optic nerve ultrasonography for evaluating increased intracranial pressure in severe preeclampsia.

Int J Obstet Anesth 2019 Jan 6. Epub 2019 Jan 6.

Department of Cardiology, University Medical Center Ljubljana, Slovenia.

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http://dx.doi.org/10.1016/j.ijoa.2018.12.009DOI Listing
January 2019
2 Reads

Syncope after administration of epidural analgesia in an obstetric patient with a vagus nerve stimulator.

Authors:
J E Tang J B Hyman

Int J Obstet Anesth 2019 Jan 6. Epub 2019 Jan 6.

Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place Box 1010, New York, NY 10029, United States. Electronic address:

Vagus nerve stimulation (VNS) is an adjunctive therapy for medically refractory epilepsy and depression. Vagus nerve stimulation is generally well-tolerated, but cardiac arrhythmias or asystole are rare complications that have been reported. This case report describes an obstetric patient who received epidural analgesia and subsequently experienced two episodes of syncope synchronous with stimulation from her VNS device. Read More

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http://dx.doi.org/10.1016/j.ijoa.2018.12.011DOI Listing
January 2019
1 Read

Treatment of obstetric post-dural puncture headache. Part 1: conservative and pharmacological management.

Int J Obstet Anesth 2018 Dec 21. Epub 2018 Dec 21.

Department of Anaesthetics, Queen Charlotte's and Chelsea Hospital, Imperial College Healthcare NHS Trust, London, UK.

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 followed-up. Read More

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http://dx.doi.org/10.1016/j.ijoa.2018.12.006DOI Listing
December 2018
1 Read

Treatment of obstetric post-dural puncture headache. Part 2: epidural blood patch.

Int J Obstet Anesth 2018 Dec 22. Epub 2018 Dec 22.

Department of Anaesthetics, Queen Charlotte's and Chelsea Hospital, Imperial College Healthcare NHS Trust, London, UK.

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. Despite suffering long-term headaches, neither woman was adequately followed-up after discharge from hospital. Death resulted from a cerebral vein thrombosis in one case and a subdural haematoma in the other. Read More

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http://dx.doi.org/10.1016/j.ijoa.2018.12.005DOI Listing
December 2018
1 Read

Comparison of the potency of phenylephrine and norepinephrine bolus doses used to treat post-spinal hypotension during elective caesarean section.

Int J Obstet Anesth 2018 Dec 13. Epub 2018 Dec 13.

Department of Anaesthesiology and Critical Care, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India.

Background: Phenylephrine, although considered the vasopressor of choice, can cause reflex bradycardia and a fall in cardiac output. Norepinephrine, due to its direct positive chronotropic and reflex negative chronotropic actions, is expected to overcome this problem. However, limited information about its effective dose for management of post-spinal hypotension, and its potency compared to phenylephrine, is available. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0959289X183037
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http://dx.doi.org/10.1016/j.ijoa.2018.12.002DOI Listing
December 2018
17 Reads

Transabdominal continuous echocardiographic monitoring of fetuses.

Int J Obstet Anesth 2018 Dec 21. Epub 2018 Dec 21.

Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, PR China.

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http://dx.doi.org/10.1016/j.ijoa.2018.12.007DOI Listing
December 2018
1 Read

Remifentanil patient-controlled analgesia in labour: six-year audit of outcome data of the RemiPCA SAFE Network (2010-2015).

Int J Obstet Anesth 2018 Dec 21. Epub 2018 Dec 21.

Department of Anaesthesiology, University Hospital Würzburg, Würzburg, Germany.

Background: The RemiPCA SAFE Network was established to set standards and monitor maternal and neonatal outcomes when using remifentanil for labour analgesia. The aim of this analysis was to describe the development of the network standard and to report maternal and neonatal outcome data, including severe adverse events.

Methods: Data sets of the RemiPCA SAFE Network database from the initial six consecutive years (2010-2015) were retrospectively analysed. Read More

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http://dx.doi.org/10.1016/j.ijoa.2018.12.004DOI Listing
December 2018
3 Reads

Accidental dural puncture during labor analgesia and obstetric outcomes in nulliparous women.

Int J Obstet Anesth 2018 Dec 12. Epub 2018 Dec 12.

Department of Anesthesiology, Washington University School of Medicine, St. Louis, MO, 63110, USA. Electronic address:

Background: The effect of accidental dural puncture during labor epidural analgesia on obstetric outcomes remains unexplored. In this retrospective cohort study, we tested the hypothesis that accidental dural puncture is associated with prolonged second stage of labor.

Methods: Anesthetic and obstetric data from nulliparous parturients who suffered an accidental dural puncture at term labor (n=89) during the years 2006-2012 were compared with randomly selected parturients with uncomplicated epidural analgesia (n=232). Read More

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http://dx.doi.org/10.1016/j.ijoa.2018.12.001DOI Listing
December 2018
1 Read
1.832 Impact Factor

In vitro intravenous fluid co-load rates with and without an intravenous fluid warming device.

Int J Obstet Anesth 2018 Dec 18. Epub 2018 Dec 18.

Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA. Electronic address:

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http://dx.doi.org/10.1016/j.ijoa.2018.12.003DOI Listing
December 2018

Epidural hematoma following low molecular weight heparin prophylaxis and spinal anesthesia for cesarean delivery.

Int J Obstet Anesth 2019 Feb 26;37:118-121. Epub 2018 Sep 26.

Department of Anesthesiology, University of Arizona, Tucson, AZ, USA. Electronic address:

Epidural hematoma is a very uncommon complication of spinal anesthesia. Its incidence has been reported to be between 1:200 000-250 000 in the obstetric population following neuraxial anesthesia. Cesarean delivery increases the risk of maternal venous thromboembolism significantly and recommendations to decrease its incidence and morbidity have been developed. Read More

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http://dx.doi.org/10.1016/j.ijoa.2018.09.008DOI Listing
February 2019
4 Reads

Ultrasound guided L5-S1 placement of labor epidural does not improve dermatomal block in parturients.

Int J Obstet Anesth 2018 Nov 20. Epub 2018 Nov 20.

Department of Anesthesia and Critical Care, University of Chicago, Chicago, United States of America.

Background: Based on their experience or training, anesthesiologists typically use the iliac crest as a landmark to choose the L3-4 or L2-3 interspace for labor epidural catheter placement. There is no evidence-based recommendation to guide the exact placement. We hypothesized that lower placement of the catheter would lead to a higher incidence of S2 dermatomal block and improved analgesia in late labor and at delivery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0959289X183033
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http://dx.doi.org/10.1016/j.ijoa.2018.11.005DOI Listing
November 2018
3 Reads

In reply.

Int J Obstet Anesth 2019 02 17;37:138. Epub 2018 Nov 17.

The University of Queensland, Faculty of Medicine and Department of Obstetrics and Gynaecology and Obstetric Medicine, The Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.

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http://dx.doi.org/10.1016/j.ijoa.2018.11.003DOI Listing
February 2019
3 Reads

How low did we go? A case report of unexpected thrombocytopenia.

Int J Obstet Anesth 2018 Nov 29. Epub 2018 Nov 29.

Columbia University Medical Center, Department of Anesthesiology, New York, United States of America.

We report the case of a normotensive 31-year-old parturient who received combined spinal-epidural analgesia for early labor, and who was then found to have an unexpectedly low platelet count (25 000/μL) with elevated liver enzymes, but without alterations in blood pressure. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0959289X183048
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http://dx.doi.org/10.1016/j.ijoa.2018.11.008DOI Listing
November 2018
2 Reads

Blood pressure measurement in pregnancy.

Int J Obstet Anesth 2019 02 17;37:137-138. Epub 2018 Nov 17.

Department of Women's Health, King's College London, United Kingdom.

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http://dx.doi.org/10.1016/j.ijoa.2018.11.006DOI Listing
February 2019
1 Read

Neuraxial labor analgesia, obstetrical outcomes, and the Robson 10-Group Classification.

Int J Obstet Anesth 2019 02 27;37:1-4. Epub 2018 Nov 27.

Department of Anesthesiology and Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, USA.

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https://linkinghub.elsevier.com/retrieve/pii/S0959289X183035
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http://dx.doi.org/10.1016/j.ijoa.2018.11.007DOI Listing
February 2019
2 Reads

Acute hypoglycemia during cesarean delivery in a patient with Type-1 diabetes mellitus.

Int J Obstet Anesth 2018 Nov 17. Epub 2018 Nov 17.

Department of Anaesthesiology, Nara Medical University, Kashihara, Nara, Japan.

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http://dx.doi.org/10.1016/j.ijoa.2018.11.004DOI Listing
November 2018
1 Read

Peri-operative considerations for in utero repair of myelomeningocele.

Int J Obstet Anesth 2019 Feb 23;37:135-136. Epub 2018 Oct 23.

Servicio de Obstetricia, Hospital Italiano de Buenos Aires, Argentina.

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http://dx.doi.org/10.1016/j.ijoa.2018.10.007DOI Listing
February 2019
4 Reads

Serious adverse events attributed to remifentanil patient-controlled analgesia during labour in The Netherlands.

Int J Obstet Anesth 2018 Nov 2. Epub 2018 Nov 2.

Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Midwifery Science, AVAG, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands; Maxima Medical Centre, Veldhoven, The Netherlands.

Background: During labour, remifentanil patient-controlled analgesia is used as an alternative to neuraxial analgesia. Remifentanil is associated with hypoventilation and respiratory depression but the frequency of serious maternal and neonatal adverse events is unknown. The aim of this study was to estimate the number of serious adverse events attributed to the use of remifentanil patient-controlled analgesia during labour in The Netherlands and to investigate the circumstances (e. Read More

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http://dx.doi.org/10.1016/j.ijoa.2018.10.013DOI Listing
November 2018
2 Reads

Massive hemorrhage protocol activation in obstetrics: a 5-year quality performance review.

Int J Obstet Anesth 2018 Nov 3. Epub 2018 Nov 3.

Department of Transfusion Medicine.

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 assess compliance by the clinical team. Read More

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http://dx.doi.org/10.1016/j.ijoa.2018.10.004DOI Listing
November 2018
2 Reads

Antenatal anaesthetic assessment clinics: a survey of United Kingdom practice.

Authors:
M D Roe W Nabeih

Int J Obstet Anesth 2019 Feb 17;37:139-141. Epub 2018 Nov 17.

East Suffolk and North Essex NHS Foundation Trust, Ipswich, United Kingdom.

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http://dx.doi.org/10.1016/j.ijoa.2018.11.002DOI Listing
February 2019
1 Read

A 10-year update: national survey questionnaire of obstetric anesthesia units in Israel.

Int J Obstet Anesth 2018 Nov 2. Epub 2018 Nov 2.

Department of Anesthesiology, Perioperative Medicine & Pain Treatment, Shaare Zedek Medical Center, Affiliated with the Hadassah-Hebrew University Medical School Ein-Kerem, Jerusalem, Israel.

Background: This nationwide survey was conducted to provide data about the obstetric anesthesia services in Israeli labor and delivery units in 2016.

Methods: Prospective survey questionnaire was emailed to obstetric anesthesia unit directors/chairperson of all 25 labor and delivery services units within the jurisdiction of the Israeli Ministry of Health.

Results: The response rate was 100%. Read More

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http://dx.doi.org/10.1016/j.ijoa.2018.10.014DOI Listing
November 2018
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Are high-risk obstetric patients properly identified and managed?

Int J Obstet Anesth 2019 Feb 12;37:138-139. Epub 2018 Nov 12.

Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, USA. Electronic address:

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http://dx.doi.org/10.1016/j.ijoa.2018.11.001DOI Listing
February 2019
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Observational study evaluating obstetric anesthesiologist residents' wellbeing, anxiety and stress in a North American academic program.

Int J Obstet Anesth 2018 Nov 2. Epub 2018 Nov 2.

Department of Anesthesiology, Columbia University Medical Center, United States of America.

Background: The obstetrics work environment has a unique set of stressors that may be associated with burnout. We investigated how wellbeing during the obstetric anesthesia (ObA) rotation compared to other rotations; which workplace environment characteristics precipitated the greatest stress; and whether anxiety and stress levels changed in trainees before and after an ObA rotation.

Methods: Using a survey, anesthesia residents (N=36) ranked their wellbeing on each anesthesia rotation and answered questions about work environment. Read More

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http://dx.doi.org/10.1016/j.ijoa.2018.10.011DOI Listing
November 2018
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Anaesthetic implications of a patient with cold-induced anaphylaxis presenting to the labour ward.

Int J Obstet Anesth 2019 Feb 26;37:125-128. Epub 2018 Sep 26.

Chelsea and Westminster Hospital, Magill Department of Anaesthesia, London, United Kingdom.

Cold contact urticaria is a well described condition, with reactions ranging from localised wheals to systemic and anaphylactic reactions. Case reports involving anaesthetic care are rare. This report describes a patient with cold-induced urticaria with systemic reactions who had been advised to carry an adrenaline autoinjector. Read More

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http://dx.doi.org/10.1016/j.ijoa.2018.09.009DOI Listing
February 2019
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Prophylactic infusion of phenylephrine is effective in attenuating the decrease in regional cerebral blood volume and oxygenation during spinal anesthesia for cesarean section.

Int J Obstet Anesth 2019 Feb 21;37:36-44. Epub 2018 Sep 21.

Department of Anesthesiology, Nihon University School of Medicine, 30-1 Oyaguchi-Kamicho, Itabashi-ku, Tokyo 173-8610, Japan.

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 spinal anesthesia for cesarean section were randomly divided into one of three intravenous infusion groups: saline (P0), phenylephrine 25 (P25) or 50 µg/min (P50). Read More

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http://dx.doi.org/10.1016/j.ijoa.2018.09.006DOI Listing
February 2019
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