Impedance Cardiography for Monitoring During C-Section Impedance Cardiography for Monitoring During C-Section

This study assessed the utility of impedence cardiograpy as a noninvasive tool to continuously monitor hemodynamics during cesarean section.BMC Anesthesiology
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Anesthesiology Journal Article Source Type: news

Related Links:

In this study, the pregnant female Sprague–Dawley (SD) rats were used to evaluate the potential toxicological effect of strontium citrate, a dietary supplement, on embryo-fetal development. Strontium citrate at doses of 0 mg/kg, 680 mg/kg, 1360 mg/kg, and 2267 mg/kg was administrated orally by gavage to rats at day 6 to day 15 of pregnancy. Each group contained 20 pregnant rats. On the 20th day of gestation, rats was anesthetized and dissected by cesarean section. The appearance, internal organs, gravid uterus weight, embryo implantation number, and implantation loss rate in maternal rats of each group did no...
Source: Regulatory Toxicology and Pharmacology - Category: Toxicology Source Type: research
Conclusions: Neuraxial anesthesia can be performed safely in patients who have previously undergone lumbar resections of intradural ependymomas. However, the anesthesiologist should place the epidural needle/catheter at a nonoperative level (e.g. above/below). Furthermore, epidural local anesthetics and opioids, as in this case, placed at the L5-S1 level below an L1-L3 prior surgical scar, may diffuse intradurally, bypassing the obliterated surgical epidural space and/or attendant scar tissue. PMID: 30488009 [PubMed]
Source: Surgical Neurology International - Category: Neurosurgery Tags: Surg Neurol Int Source Type: research
The objective of this comprehensive consensus statement was to provide practical and independent advice to physicians for treating and managing spinal anesthesia-induced maternal hypotension in both resource-rich and resource-poor environments. This clinical best practices summary was necessary as there has been much variation in the methods used to manage spinal anesthesia-induced hypotension during cesarean section, and maternal hypotension increases risks to both maternal and fetal/neonatal health. While generalized recommendations have been made for the management of this problem by professional organizations, the auth...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Editor’s Picks Source Type: research
(Anaesthesia. 2018;73:23–31) Minimally invasive cardiac output monitors have been used in parturients to assess the hemodynamic effects of spinal anesthesia and the commonly used vasopressors phenylephrine and ephedrine. However, studies utilizing these devices have been performed mostly in healthy parturients, with data lacking for those with severe preeclampsia. This randomized study’s objective was to compare the cardiac output response to phenylephrine or ephedrine administered for spinal hypotension during cesarean delivery in women with severe early-onset preeclampsia as well as to measure the stroke vol...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Editor’s Picks Source Type: research
This article examined common themes (relating to consent, checking the block, managing intraoperative pain, and professionalism) that emerged from an analysis of these claims and highlighted the lessons to be learned for practicing anesthesiologists.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Editorials and Reviews Source Type: research
(BMJ. 2018;360:k55) It remains unclear what the ideal cesarean section rate should be. Very low rates may be indicative of a lack of access when needed, leading to high rates of maternal and newborn morbidity and mortality. In contrast, high cesarean section rates suggest a bias for cesarean delivery without medical indication, increasing the risk of surgical complications, hemorrhage, and infection, Studies have shown that inequalities in cesarean section rates exist both between countries and within countries. The highest rates of cesarean delivery are generally observed among the wealthiest regions, and low rates are p...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Epidemiologic Reports Surveys Source Type: research
This study aimed to investigate induced labor, cesarean delivery, and health care utilization in patients with a previous stillbirth and assess if anxiety and dread of childbirth may be possible causes of the increased cesarean rate and increased frequency of antenatal visits.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Epidemiologic Reports Surveys Source Type: research
(BMJ. 2018;360:k817) Overuse of cesarean sections throughout the world is a cause of concern due to the potential adverse health effects on the mother and the child. In China, between 2008 and 2014, the cesarean section rate increased from 29% to 35%, although wide variations among provinces existed. To address this issue, the Chinese government introduced various policies and programs at central, provincial, district, county, and hospital levels in an attempt to decrease the rate. As a result, cesarean section rates started to decline, particularly in large urban areas, for example, from 60% in 2009 to 43% in 2014 in Bei...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Epidemiologic Reports Surveys Source Type: research
This study aimed to develop and validate a prediction model for cesarean section to supplement counseling for nulliparous and multiparous women with an unfavorable cervix undergoing induction.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Mother, Fetus, Neonate Source Type: research
(Br J Anaesth. 2018;121:469–475) Transversus abdominis plane (TAP) block is a technique that provides postcesarean section analgesia and serves as a reasonable alternative for patients who are unable to receive neuraxial morphine. However, it often requires large volumes of local anesthetic, such as levobupivacaine, which has raised concerns about local anesthetic toxicity. Currently, there is a scarcity of information on levobupivacaine pharmacokinetics (PK) after TAP block in pregnant patients. The authors of the present study thus generated a PK model derived with data from pregnant patients after cesarean sectio...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Anesthesia and Analgesia: Postoperative Analgesia Source Type: research
More News: Anesthesia | Anesthesiology | Cardiology | Cesarean Section | Health | Heart | Study