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Importance of the time sequence between measurement of the predictor and of the predicted outcome: Response Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2024-04-08 H. Mizutani, T. Ushida, H. Kajiyama, T. Kotani
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Severe back labor pain masks a scald caused by shower hydrotherapy: a case report Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2024-03-28 P.J. Angle, V Ashok, G Liu, M Trenholm, J Montbriand
Shower hydrotherapy is generally considered benign during labor. We report a case of extensive scalds in a primigravida who used shower hydrotherapy to treat severe back labor pain from fetal malposition. Interestingly, her back pain was so severe that she felt no pain as her scald developed, describing the hot water from the showerhead as the only measure which “soothed” her pain. Her scald was diagnosed
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Labour: a pain for informed consent? Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2024-03-27 T.J. O'Pray
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Variability of fibrinolytic activity in pregnant patients exposed to tissue plasminogen activator: an in vitro study utilizing rotational thromboelastometry Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2024-03-26 A. Tran, D. Katz
The investigation into the variability of fibrinolysis in obstetric patients is notably limited despite its relevance to postpartum hemorrhage. We investigate an in vitro model of fibrinolysis measured by rotational thromboelastrometry (ROTEM) in maternal blood samples with lysis stimulated by tissue plasminogen activator (tPA). Written informed consent was obtained from 19 patients at term pregnancy
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Lower-body warming and postoperative temperature in cesarean delivery under spinal anesthesia: a randomized controlled trial Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2024-03-21 S. Haim, B. Cohen, A. Lustig, C. Greenberger, B. Aptekman, C.F. Weiniger
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Importance of the time sequence between measurement of the predictor and the predicted outcome Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2024-03-20 Hugo Madar, Loïc Sentilhes, Catherine Deneux-Tharaux
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Management of sporadic intracranial vascular malformations in pregnancy: a retrospective analysis Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2024-03-19 S.J. Ellwood, A.A. Mootz, J.M. Carabuena, M.K. Farber, S.C. Reale
Sporadic intracranial vascular malformations can pose significant risk to parturients, and additional reports of management may inform patient care. Here we describe the peripartum management of parturients with intracranial vascular malformations. After Institutional Review Board approval, we performed a retrospective analysis of parturients with a known sporadic intracranial vascular malformation
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International Journal of Obstetric Anesthesia Referees 2023 Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2024-01-22
Abstract not available
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Association of free maternal and fetal ropivacaine after epidural analgesia for intrapartum caesarean delivery: a prospective observational trial Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2024-01-11 J. Amian, C.F. Weber, M. Sonntagbauer, L. Messroghli, F. Louwen, H. Buxmann, A. Paulke, K. Zacharowski
Ropivacaine is present in plasma in both protein-bound and free forms. The free form is responsible for the occurrence of toxic side effects. During obstetric epidural analgesia, free ropivacaine enters the fetal circulation depending on various factors. The aim of this study was to analyse a potential association between ropivacaine concentrations in maternal and fetal plasma and hence the extent
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Adult Attachment Style as a Predictor for Post-Cesarean Pain: A Pilot Study Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2024-01-11 J. Querney, Y. Li, A. Li, S.I. Singh, P.M. Jones, A. Dobrowlanski, Y. Symons, I. Sebbag
Abstract not available
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Labor induction and use of labor analgesia: a nationwide register-based analysis in Finland Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2024-01-11 M. Vaajala, M. Kekki, V.M. Mattila, I. Kuitunen
Abstract not available
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Successful antepartum de-labelling of local anaesthetic allergy in a parturient with a self-reported allergy to amide and ester local anaesthetics Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2024-01-11 E. Yamaguchi, R. ffrench O'Carroll, A. Chau, R. Preston
Abstract not available
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A retrospective cohort study of the anesthetic management of postpartum tubal ligation Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2024-01-03 J. Ansari, M. Sheikh, E. Riley, N. Guo, A. Traynor, B. Carvalho
Neuraxial anesthesia with reactivation of a labor epidural catheter is commonly utilized for postpartum tubal ligations (PPTL), although the optimal anesthetic approach is unknown. We assessed institutional anesthesia practices for PPTL, and evaluated the failure rates of reactivation of labor epidural catheters, de novo spinal anesthesia, and spinal anesthesia after failed blocks. We conducted a single-center
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A narrative review of the literature relevant to obstetric anesthesiologists: the 2023 Gerard W. Ostheimer lecture Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2024-01-03 P. Sultan
This narrative review of the 2023 Gerard W. Ostheimer lecture presented at the Society for Obstetric Anesthesia and Perinatology 2023 annual meeting summarizes 2022 literature relevant to obstetric anesthesiologists. Neonatal morbidity is reduced with antenatal maternal buprenorphine compared with methadone for treatment of opioid use disorder. Antenatal pregnancy allergy testing is safe and feasible
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Recent trends in the density of Peruvian physician anesthesia providers and their regional distribution Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2024-01-03 C.J. Shiraishi-Zapata
Abstract not available
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Spinal anaesthesia for caesarean section in a patient with eclampsia and posterior reversible encephalopathy syndrome Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-12-20 J. Kielty, M. Carton, N. Hayes, A. Ni Eochagain
Abstract not available
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Observational study of peripheral skin temperature changes following spinal anaesthesia for caesarean birth Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-12-13 L. Kessack, G. Davenport, C. McGlennan, J.H. Bamber
Spinal anaesthesia is widely used in obstetric anaesthesia practice but there is limited knowledge about the development of sympathetic blockade following spinal anaesthesia for caesarean birth. This study investigated the characteristics of sympathetic blockade by measuring peripheral skin temperature changes in the feet of patients given spinal anaesthesia for elective caesarean birth. A prospective
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Dexamethasone for postoperative nausea and vomiting prophylaxis in cesarean delivery and a delayed diagnosis of neonatal congenital adrenal hyperplasia Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-12-13 A.C. Waselewski, T.T. Klumpner, J.A. Kountanis, E.S. Sandberg, D.E. Shumer
The case of a false-negative newborn screen for congenital adrenal hyperplasia in a 37 weeks’ gestation 46,XX neonate, thought to be due to maternal administration of dexamethasone intra-operatively prior to umbilical cord clamping, for postoperative nausea and vomiting prophylaxis after neuraxial anesthesia, is described.
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Is crystalloid co-loading necessary to prevent spinal hypotension during elective cesarean delivery? A randomized double-blind trial Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-12-13 B.S. Buddeberg, E. Seeberger, C. Bläsi, G. Dutilh, L.A. Steiner, O. Bandschapp, A. Palanisamy, T. Girard
Hypotension is common during spinal anesthesia for cesarean delivery. Preventive strategies include fluid loading and phenylephrine. We hypothesized that if prophylactic phenylephrine infusion is used, omission of fluid loading would be non-inferior to fluid co-loading in maintaining cardiac output. We assumed that if there was a difference, the increase in cardiac output would be greater in the no-loading
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Maldistribution of fluid in preeclampsia: a secondary kinetic analysis Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-12-05 R.G. Hahn
Background Hypovolemia and peripheral edema are frequent components of preeclampsia. The level of the dysregulation of the body fluid distribution is unclear, which complicates the choice of infusion fluid during surgery. The present fluid kinetic study challenges whether the maldistribution of fluid is due to increased capillary leakage or to poor return of already distributed fluid, which occurs
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Extensive epidural spread of cerebrospinal fluid displacing the spinal cord after an inadvertent dural puncture in an obstetric patient Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-12-05 S. Kaivola, J. Martola, A. Väänänen
We report a rare complication of an inadvertent dural puncture in an obstetric patient. A 24-year-old healthy primipara had a difficult neuraxial labor analgesia insertion. Subsequently she developed severe back pain and started having ‘electric shock’-like sensations radiating from the spine to the lower extremities, raising a suspicion of a vertebral canal hematoma. Topping up the epidural for emergency
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Acute Sheehan syndrome revealed by neuropsychiatric disorders Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-12-01 Emilie Occhiali
Abstract not available
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The minimum effective dose (ED90) of prophylactic oxytocin infusion during cesarean delivery in patients with and without obesity: an up-down sequential allocation dose-response study Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-12-01 A. Tyagi, C. Nigam, R.K. Malhotra, P. Bodh, S. Deep, A. Singla
Background Obesity is associated with greater oxytocin requirement during labor induction or augmentation. There are scant data exploring the intra-operative requirement during cesarean delivery in patients with obesity, and none comparing it with those without obesity. We evaluated the minimum effective dose (ED90) of an oxytocin infusion to achieve adequate uterine tone during cesarean delivery in
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Pregnancy-related outcomes in obstetric patients with pulmonary hypertension: a single-center retrospective cohort study Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-12-01 A.L. McNeil, N.K. Al-Shibli, M.E. Fuller, S.A. Goldstein, A.S. Habib, S.K. Dotters-Katz, S.H. Shah, M-L. Meng
Abstract not available
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Anesthetic management for emergency cesarean section in a patient with Townes-Brocks syndrome Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-12-01 S. Bojic, S. Mihajlovic
Abstract not available
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The availability of short-handled videolaryngoscopes in obstetric anaesthesia Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-12-01 R. McCusker, N. Alexander, K. Theodosiou
Abstract not available
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An evaluation of a healthy participant laboratory model of epidural hyperthermia: a physiological study Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-11-30 G. Chang, H. Moiteiro Manteigas, P.H. Strutton, C.J. Mullington
Background Hyperthermia complicates 21% of cases of intrapartum epidural analgesia, but the mechanism is unclear. One hypothesis is that blockade of cholinergic sympathetic nerves prevents active vasodilation and sweating, thus limiting heat loss. Because labour increases heat production, this could create a situation in which heat production exceeds loss, causing body temperature to rise. This physiological
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Predictive performance of Shock Index for postpartum hemorrhage during cesarean delivery Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-11-20 H. Mizutani, T. Ushida, K. Ozeki, S. Tano, Y. Iitani, K. Imai, K. Nishiwaki, H. Kajiyama, T. Kotani
Background The Shock Index (SI), defined as heart rate divided by systolic blood pressure, is reportedly an early surrogate indicator for postpartum hemorrhage (PPH). However, most previous studies have used clinical data of women who delivered vaginally. Therefore, we aimed to evaluate the SI pattern during cesarean delivery and determine its usefulness in detecting PPH. Methods This was a single-center
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Obstetric anesthesiology and extended reality: an introduction to future uses of spatial computing in obstetric anesthesiology Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-11-20 J.E. Rubin, R.S. White, R.B. Boyer, R. Jotwani
Abstract not available
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Cesarean section under spinal anesthesia in a first-time gravida with Fabry disease Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-11-20 K. Politt, C. Gaik
Abstract not available
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Use of the Obstetric Quality-of-Recovery score (ObsQoR-11) to measure the impact of an enhanced recovery programme for elective caesarean section Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-11-10 J. Kielty, A. Borkowska, E. Lawlor, A.F. EL-Khuffash, A. Doherty, D. O'Flaherty
Background Enhanced recovery after caesarean (ERAC) has been shown to postoperatively reduce opioid consumption, reduce pain scores, and shorten hospital stay. Arguably, none of these measures provide for a patient-centred approach. We believe that patient-reported outcome measures (PROMs) represent a more holistic approach to the reporting of outcomes. One such PROM is the Obstetric Quality-of-Recovery
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Association of pain catastrophizing with labor pain and analgesia consumption in obstetrical patients Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-11-10 F.M. Peralta, L.P. Condon, D. Torrez, K.E. Neumann, A.L. Pollet, R.J. McCarthy
Introduction Pain catastrophizing is an exaggerated negative orientation to painful stimuli which in obstetric patients is associated with fear of overwhelming labor pain and negative pain-related outcomes. This study aimed to quantitatively examine the association of pain catastrophizing with maternal labor pain outcomes. Methods We conducted a prospective observational study of women admitted for
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‘Sip ‘til Send’: a prospective study of the effect of a liberal fluid fasting policy on patient reported and haemodynamic variables at elective caesarean delivery Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-11-10 S Daly, O Mohamed, J Loughrey, R Kearsley, T Drew
Abstract not available
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McCune–Albright syndrome: Anesthetic management of cesarean section Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-11-03 G. Varvarousi, N. Moschovaki, L. Michala, D. Valsamidis
Abstract not available
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Surgical sensation during caesarean section: a qualitative analysis Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-11-03 A. Jiang, T. Perry, K. Walker, A. Burfoot, L. Patterson
Background Caesarean section (CS) is a major abdominal surgery performed usually on a young and healthy population under neuraxial anesthesia with little to no sedation. This creates a distinct surgical experience whereby patients are aware of the surgical process, physical sensations, and their environment. This study aimed to provide an in-depth descriptive assessment of subjective surgical experience
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Re-attempting the procedure after an accidental dural puncture during an epidural blood patch: is there a hole in the plan? Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-11-02 A. Chau, J.C. Markley
Abstract not available
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Retraction notice to “A randomized study of the effects of preoperative ketorolac on general anaesthesia for caesarean section” [Int. J. Obstet. Anesth. 16(3) (2007) 214–220] Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-10-27 M.R. El-Tahan, O.M. Warda, A.M. Yasseen, M.M. Attallah, M.K. Matter
Abstract not available
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Maternal Enhanced and Critical Care (MEaCC) in Yorkshire and the Humber: regional implementation of an enhanced maternal care pathway and data collection Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-10-27 A. Corp, B. Wilkinson, S. Hickey, V. Dolby, D. Horner
Enhanced Maternity Care (EMC) is a new standard of care for women who become unwell during or shortly after pregnancy. Yorkshire and the Humber Maternity Clinical Network established the Maternal Enhanced and Critical Care Group (MEaCC) to create regional guidance with a focus on maternity staff training, development of the MEaCC database and data collection. This article describes the introduction
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Effect of pre-operative patient anxiety on post-spinal shivering during elective cesarean delivery: a prospective observational study Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-10-26 S. Jeevan, V. Ashok, K. Jain, V. Jain
Background Shivering after spinal anesthesia is common during cesarean delivery (CD), and is thought to be primarily a thermoregulatory response. By inducing autonomic changes, pre-operative anxiety could alter the functioning of the thermoregulatory center, hence modifying the incidence and severity of obstetric post-spinal shivering. This prospective observational study was conducted to explore the
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Intracranial arachnoid cyst in pregnancy: case report, literature review and evaluation of neuraxial anaesthesia risk Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-10-11 T. Cooper, A. Lyons, A. Faber-Swensson, L. Vestarkis, R. Shakhovskoy
Choosing the type of intrapartum anaesthesia for pregnant women with intracranial arachnoid cysts can be challenging due to a lack of research. We report the intrapartum anaesthetic management of a 25-year-old woman with a known 10 cm arachnoid cyst. By means of a literature review and discussion of safety surrounding neuraxial techniques, this report will help to inform obstetric anaesthesia practice
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Cross-legged position versus traditional sitting position for epidural catheter insertion for labor analgesia: a non-randomized prospective study Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-10-11 K. Serey, L. Osse, X. Repessé, J. Babou, L. Banna, M. Ayoub, R. Elseblani, M. Brebion, H. Keita
Abstract not available
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Presence of the partner in the operating room during a category 1 cesarean section: a prospective explorative study Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-10-10 H.K. Nedergaard, E.E. Weitling, M. Rahbech, C. Frøslev-Friis, L.H. Quitzau, T. Strøm, A.C. Brøchner, H.I. Jensen
Background Little information exists regarding attitudes related to the presence of the partner in the operation room (OR) during category 1 emergency cesarean section (cat. 1 CS). We investigated how cat. 1 CS under general anesthesia is experienced, both by partners present in the OR and those not. Methods An explorative prospective cohort trial, with qualitative elements, involving all cat. 1 CS
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Assessing block following neuraxial anaesthesia for caesarean delivery: a national survey of Irish anaesthesiologists Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-10-10 J.F. Bonnet, S. Amhed, R. Ffrench-O'Carroll
Abstract not available
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Diagnosis and management of a ruptured 20-week anencephalic cornual ectopic pregnancy undergoing termination: implications of interstate travel due to restrictive abortion law Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-09-29 O.M. Sutton, D.J. Berman, A.J. Vaught, J.C. Bradshaw, R.A. Johns
In the changing legal environment of obstetric care in the USA, with laws in many states banning termination at all stages of pregnancy with narrow exemptions, healthcare providers are encountering cases in which risk to maternal safety is increased. This report presents a case of a 28-year-old primigravida with an anencephalic fetus who was legally unable to pursue termination in her home state. She
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Total intravenous anaesthesia for caesarean delivery: incidence, maternal and neonatal outcomes from a tertiary unit Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-09-29 U. Javed, K. Bhatia
Abstract not available
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Outcomes and outcome measures utilised in randomised controlled trials of postoperative caesarean delivery pain: a scoping review Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-09-15 S. Ciechanowicz, J. Kim, K. Mak, L. Blake, B. Carvalho, P. Sultan
Background Inadequately treated postoperative pain following caesarean delivery can delay recovery and the ability to care for a newborn. Effectiveness studies of interventions to treat postoperative caesarean delivery pain measure different outcomes, limiting data pooling for meta-analysis. We performed a comprehensive review of existing outcomes with the aim of recommending core outcomes for future
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Novice learners’ perspectives on obstetric airway crisis decision-making training using virtual reality simulation Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-09-15 J. Chan, C. Chan, P. Chia, R. Goy, B.L. Sng
Background Current training on managing an obstetric difficult airway crisis is likely inadequate, as real-life opportunities to practice are rare. Frequent simulation training sessions could be helpful but are resource intensive. Virtual reality (VR) simulation training may be a potential tool to complement existing simulation curricula. Methods In this pilot qualitative study, a VR simulation scenario
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Where is obstetric anesthesiology heading in the next decade? An Eastern European perspective Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-09-15 I. Golubovska, C. Palmer, A. Ronenson, E. Shifman, M. Sarkele, N. Pejcic, I. Velickovic, B. Pujic, P. Krawczyk
European countries of “Eastern Block” origin took different healthcare and economic development trajectories after the Berlin Wall fell. Despite decreased maternal and neonatal mortality in the last two decades, healthcare disparities exist between the various countries. Minimum standards for obstetric anesthesia are not available for every maternity patient. Lack of equity in access to healthcare
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Obstetric anaesthesiology: manpower and service provision issues in India Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-09-15 S. Gupta, A. Grewal, K. Jain
Obstetric anaesthesiologists play a pivotal role as peripartum physicians steering the team of obstetric healthcare providers towards a continuum of medical education, enhanced training and safer patient care. However, in resource-limited countries, deficiency of human resources and hence services available poses challenges to those attempting to reduce maternal mortality rates. Measures to fill the
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Risk factors for recurrence of post-dural puncture headache following an epidural blood patch: a retrospective cohort study Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-09-15 S. Tomala, G.L. Savoldelli, I. Pichon, G. Haller
Introduction Post-dural puncture headache (PDPH) occurs in 0.38–6.3% of neuraxial procedures in obstetrics. Epidural blood patch (EBP) is the standard treatment but fails to provide full symptom relief in 4–29% of cases. Knowledge of the risk factors for EBP failure is limited and controversial. This study aimed to identify these risk factors. Methods We performed a retrospective cohort study using
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A survey of United States obstetric anesthesiologists’ perceived value of obstetric anesthesiology fellowship Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-09-15 C. Thomas, K.E. Neumann, C. Smith, J.E. Dominguez, A. Traynor, M.K. Farber, M. Zakowski, R.J. McCarthy, F.M. Peralta
Introduction Subspecialty training in obstetric anesthesiology is associated with improved patient outcomes and reduced anesthesia-related morbidity and mortality. Despite this, the demand for fellowship-trained obstetric anesthesiologists far exceeds the supply. This survey study aimed to evaluate the perceived value of obstetric anesthesiology subspecialty training on career trajectory, job satisfaction
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Calculation of effective dose of phenylephrine bolus for treatment of post-spinal hypotension in pre-eclamptic patients undergoing caesarean section – a non-randomised controlled trial Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-09-15 M. Mohta, S. Kumari, R.K. Malhotra, A. Tyagi, R. Agarwal
Background Patients with pre-eclampsia require smaller vasopressor doses compared with those with normotension for management of post-spinal hypotension during caesarean section. However, the literature has little evidence as to the phenylephrine dose required for patients with pre-eclampsia. Methods Fifty patients, with either pre-eclampsia or normotension, and developing post-spinal hypotension during
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Anesthesiology resident preferences regarding learning to perform epidural anesthesia procedures in obstetrics: a qualitative phenomenological study Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-08-11 G. Jaconia, C. Naus, A. Lee
Background Learning to perform neuraxial techniques in obstetrics is considered one of the most difficult skills for anesthesiology trainees to acquire and no consensus exists regarding the best practices for teaching these procedures. Utilizing a qualitative, phenomenological approach, we aimed to explore what trainees perceive as the best approaches to teaching epidural anesthesia techniques; identify
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Role of cosyntropin in the prevention of post-dural puncture headache: a propensity-matched retrospective analysis Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-08-11 M. Liu, A. Mitchell, A. Palanisamy, P.M. Singh
Background Post-dural puncture headache (PDPH) is a well-documented complication of accidental dural puncture in obstetric patients. Reports have shown successful treatment with adrenocorticotropic hormone (ACTH) but evidence remains low and limited. In this retrospective analysis, we assessed whether prophylactic administration of cosyntropin, a synthetic derivative of ACTH, reduced the incidence
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The association between epidural labor analgesia and the fetal outcome and mode of delivery of the second twin: a nationwide register-based cohort study in Finland Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-08-11 M. Vaajala, M. Kekki, V.M. Mattila, I. Kuitunen
Background The aim of this study was to assess the association between epidural labor analgesia and the mode of delivery for the second twin and to analyze the health outcomes of the second twin. Methods In this nationwide, retrospective, register-based cohort study, data from the National Medical Birth Register (MBR) of Finland (2004–2018) were used to analyze the association between epidural analgesia
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Airway approach for caesarean section under general anaesthesia: a national survey Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-08-06 A. Pombo, T.M. Cardoso, A.M. Araújo, R. Frada, C.S. Nunes, J. Órfão, P. Lemos
Abstract not available
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United States rural residence is associated with increased acute maternal end-organ injury or mortality after birth: a retrospective multi-state analysis, 2007–2018 Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-08-03 R. Chaturvedi, B. Lui, V.E. Tangel, S.E. Abramovitz, K.O. Pryor, K.G. Lim, R.S. White
Background Geographic-based healthcare determinants and choice of anesthesia have been shown to be associated with maternal morbidity and mortality. We explored whether differences in maternal outcomes based on maternal residence, and anesthesia type for cesarean and vaginal birth, exist. Methods This study was a retrospective multi-state analysis; patient residence was the predictor variable of interest
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Use of high-flow nasal oxygen for pregnant women with COVID-19 in the labour ward setting Int. J. Obstet. Anesth. (IF 2.8) Pub Date : 2023-08-03 J. Smith, F. Plaat
The presentation and management of SARS-CoV-2 (COVID-19) infection in the obstetric population is affected by the hormonal and mechanical changes of pregnancy. The increased oxygen demands in pregnancy in the face of conventional oxygen therapy, risks of tracheal intubation and discomfort from non-invasive positive pressure ventilation all support the use of high-flow nasal oxygen (HFNO) as an alternative