Preoperative Assessment of the Pregnant Patient Undergoing Nonobstetric Surgery

Publication date: Available online 12 October 2018Source: Anesthesiology ClinicsAuthor(s): Michael P. Webb, Erik M. Helander, Ashley R. Meyn, Trevor Flynn, Richard D. Urman, Alan D. Kaye
Source: Anesthesiology Clinics - Category: Anesthesiology Source Type: research

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Abstract This Pro-Con debate will provide the practitioner with an evidence-based knowledge approach to assist the clinician in determining whether to employ (Pro) or not to employ (Con) this technique in the obstetrical suite for labor analgesia. Nitrous oxide has been used safely in dentistry and medicine for many centuries. However, accumulating preclinical and clinical evidence increasingly suggests previously unrecognized adverse maternal and fetal effects of nitrous oxide, which warrants reconsideration of its use in pregnant women and a more detailed informed consent. Nitrous oxide is associated with metabo...
Source: Biomed Res - Category: Research Authors: Tags: Biomed Res Int Source Type: research
Conclusion: Variability between jurisdictions was evident, and variability of DOAC use is likely to increase with expanding worldwide uptake. PMID: 31529984 [PubMed - as supplied by publisher]
Source: The Annals of Pharmacotherapy - Category: Drugs & Pharmacology Authors: Tags: Ann Pharmacother Source Type: research
Starting the night shift and this case came in 2 hours prior to my arrival: 25 yo G1P0 @ 39 week gestation, BMI 77, 210 kg, admitted for attempted IOL for fetal macrosomia and super morbid obesity. PMH: - Likely OSA, PSG scheduled in 3 weeks. Can lie flat and breathe comfortably if awake but sleeps on side at night due to waking up from obstruction. Worse since pregnancy. - Mild intermittent asthma, uses inhaler 1-2x every 2 weeks. Worse since being pregnant. - Chiari 1 malformation dx'd 2... OB Case
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
CONCLUSION: Clinicians should consider aspiration pneumonitis in the gravid patient who develops acute shortness of breath, even in the absence of active labor or receipt of anesthesia. PMID: 31503154 [PubMed - as supplied by publisher]
Source: Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Obstet Gynecol Source Type: research
We report our experience with the care of a parturient woman diagnosed with EBS. There is little literature on pregnancy in women with this condition. Special precautions are necessary during diagnostic and therapeutic interventions to avoid bullae formation or exacerbation of existing lesions. Frictional or shearing forces are typically more damaging than compressive forces. Multidisciplinary planning was done for our patient to ensure uneventful labor and delivery. Elective induction of labor was started at 40 weeks of gestation. She eventually underwent a cesarean delivery after failed trial of labor. We present this ...
Source: Case Reports in Womens Health - Category: OBGYN Source Type: research
CONCLUSION For nulliparous women with single-term cephalic pregnancy planning for vaginal delivery, the use of neuraxial analgesia during labour was associated with a reduced risk of maternal depression at 2 years after childbirth. TRIAL REGISTRATION ChiCTR-OCH-14004888 and NCT02823418.
Source: European Journal of Anaesthesiology - Category: Anesthesiology Tags: Obstetric anaesthesia Source Type: research
CONCLUSION: Our study suggests that multiple sevoflurane exposures in pregnant mice may induce neuronal migration deficits in offspring mice. Additional studies comprising long-term behavioral tests are required to confirm the effects of sevoflurane exposure during pregnancy. PMID: 31499143 [PubMed - as supplied by publisher]
Source: International Journal of Developmental Neuroscience - Category: Neuroscience Authors: Tags: Int J Dev Neurosci Source Type: research
Conclusion: We conclude that IVCCI is not a predictor of PSH in pregnant women undergoing elective cesarean section.
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Abstract Giant cell tumor of the tendon sheath (GCTTS) in the foot is a rare pathology and is involved in the differential diagnosis of soft tissue tumors of the foot and ankle. Although it can affect any age group, mainly occurs at the 3rd and 5th decade, with being more common in female. Histopathological examination is a major definitive method for diagnosis, although physical examination and radiological imaging are help-full to reach a diagnosis preoperatively. There are many treatment options but marginal excision is the most commonly used one among them. Here in, A 26-year-old pregnant woman with a multi-fr...
Source: Journal of the American Podiatric Medical Association - Category: Podiatry Authors: Tags: J Am Podiatr Med Assoc Source Type: research
Conclusion: RTs were the most successful and accurate in identifying the cricoid cartilage of parturients among the different groups of professional caregivers.
Source: Journal of Anaesthesiology Clinical Pharmacology - Category: Anesthesiology Authors: Source Type: research
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