Decrease Seen in Epidural-Related Complications for C-Sections
Rates for problems linked to certain types of anesthesia down 25 percent over decade, study finds Source: HealthDay Related MedlinePlus Pages: Anesthesia, Cesarean Section, Childbirth
Conclusion The approach used in Germany to carry out external cephalic version is based on the (expired) German guideline on breech presentation. Based on the evidence obtained, a number of individual recommendations should be re-evaluated. More recent international guidelines could be useful to update the standard procedure. PMID: 33012836 [PubMed]
Publication date: Available online 29 September 2020Source: International Journal of Surgery Case ReportsAuthor(s): Gebrehiwot Asfaw, Atalay Eshetie
Abstract BACKGROUND: Hearing is essential for the healthy development of an infant as language is one of the main stimulants of intellectual capacity. We investigate the effect of anesthesia type during delivery on neonatal otoacoustic emission (OAE) hearing test results. METHODS: This retrospective cross-sectional study includes 1,493 healthy, full-term (39/0-40/6 gestational weeks) newborns of healthy women and who were delivered by cesarean section. Newborns were divided into 2 groups based on their anesthesia type during delivery: 1) general anesthesia group (n=160), and 2) spinal anesthesia group (n=1333...
ConclusionOur results indicate that the practice of placing patients on fetal monitor upon arrival to the operating room prior to performing crash cesarean delivery could reduce the rate of primary cesarean deliveries performed for prolonged decelerations in labor. When fetal heart tones have returned to baseline upon arrival in the operating room, the decision to proceed with cesarean delivery can be reconsidered. However, many clinical factors must be taken into consideration, and the decision to proceed is ultimately at the discretion of the obstetrics provider.
Doing mandatory EMTALA training for onboarding. Yawn. This stood out to me: Hospitals are obligated to provide any service that may be required, including anesthesia, cesarean section, and intensive care for the mother or newborn as necessary until any EMC is stabilized (note: true contractions are an EMC) If you work at a hospital without Ob and a patient comes in in early labor, say, at 36 weeks, stating she is scheduled for C section the next day (at the hospital... EMTALA, C Section, and Hospitals with no Ob
Authors: Thomard P, Morakul S, Wirachpisit N, Ittichaikulthol W, Pisitsak C Abstract Background: Enlarged uterus can compress the inferior vena cava and cause hypotension when lying supine. Previous studies have shown a positive association between the abdominal circumference and size of the uterus. Therefore, the aim of this study was to evaluate the relationship between abdominal circumference and incidence of hypotension during cesarean section under spinal anesthesia. Methods: The study cohort comprised women undergoing cesarean section under spinal anesthesia. Patients were divided into two groups accordin...
Conclusion: Performing leg elevation immediately after spinal anesthesia reduced the incidence of hypotension. The trial is registered with PACTR201908713181850. PMID: 32908497 [PubMed]
Spinal anesthesia (SpA) for elective caesarean section (CS) is often accompanied by clinically relevant arterial hypotension. The Bezold-Jarisch reflex, causing postspinal hypotension, has been shown to be antagonized by serotonin type 3 (5-HT3) blockade. Our aim was to assess if routine prophylactic administration of the 5-HT3 antagonist ondansetron (ODS) attenuates postspinal change in maternal blood pressure. Elective CS under SpA were retrospectively analyzed. Eighty parturients having routinely received 8 mg ODS prior to SpA were compared with 80 patients having not (control group). Mean arterial blood pressure si...
AbstractObjectiveTo investigate the efficacy and safety of prophylactic infusion of norepinephrine (NE) versus normal saline in patients undergoing cesarean section.MethodsPatients (n = 97) were randomized to receive a bolus of NE (6 μg) immediately following spinal anesthesia with maintenance NE (0.05 μg/kg/min IV) or normal saline (n = 98). The primary endpoint was the incidence of postspinal anesthesia hypotension [systolic blood pressure (SBP)