Effect of Right-Lateral Versus Left-Lateral Tilt Position on Compression of the Inferior Vena Cava in Pregnant Women Determined by Magnetic Resonance Imaging

(Anesth Analg. 2019;128(6):1217–1222)
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Mechanisms, Equipment, Hazards Source Type: research

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G Arora, N SahniJournal of Postgraduate Medicine 2020 66(1):51-53 Sheehan's syndrome (SS) is caused by infarction of the pituitary gland usually precipitated by hypotension due to massive uterine hemorrhage during the peripartum period. Once SS develops, it becomes a major comorbidity for the young females and predisposes them to further medical, obstetric, and anesthetic complications. Herein, we report the perioperative anesthetic management of a 28-year-old female, already diagnosed with SS precipitated by urosepsis and septicemic shock in a previous pregnancy, now presenting with twin pregnancy for elective cesare...
Source: Journal of Postgraduate Medicine - Category: Internal Medicine Authors: Source Type: research
This study aimed to determine whether patients with preeclampsia with severe features have greater ONSD or ODH when compared with healthy pregnant women.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Mechanisms, Equipment, Hazards Source Type: research
Abstract BACKGROUND: Despite the existing dogma that women undergoing cesarean delivery under spinal anesthesia should be positioned with a 15° left-lateral tilt, the patients were actually positioned in a right-lateral tilt position in several of the original studies. The superiority of right versus left positioning for optimal inferior vena cava volume is unknown. We used magnetic resonance imaging to compare the effects of right-lateral and left-lateral tilt positions on abdominal aortic and inferior vena cava volumes in pregnant women. METHODS: Thirteen women with singleton pregnancies and gestational...
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
In this study, we compared the dynamic resting-state local and large-scale FC between PTSD patients (n = 22) and healthy controls (HC; n = 22; conducted as standard deviation in resting-state local and large-scale FC over a series of sliding windows). Local dynamic FC was examined by calculating the dynamic regional homogeneity (dReHo), and large-scale dynamic FC (dFC) was investigated between regions with significant dReHo group differences. For the PTSD patients, we also investigated the relationship between symptom severity and dFC/dReHo. Our results showed that PTSD patients were characterized by I) increased dynamic (...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Abstract BACKGROUND: Despite the existing dogma that women undergoing cesarean delivery under spinal anesthesia should be positioned with a 15° left-lateral tilt, the patients were actually positioned in a right-lateral tilt position in several of the original studies. The superiority of right versus left positioning for optimal inferior vena cava volume is unknown. We used magnetic resonance imaging to compare the effects of right-lateral and left-lateral tilt positions on abdominal aortic and inferior vena cava volumes in pregnant women. METHODS: Thirteen women with singleton pregnancies and gestational...
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
Radicular pain arising from the lumbar, and occasionally cervical, level is not unusual during pregnancy and may commonly be caused by the physiological stresses of pregnancy which worsen symptoms of radiculopathy. Diagnostic and therapeutic challenges occur in this population, notably relating to the choice of imaging and the dichotomy between medical and surgical management.1 Magnetic resonance imaging (MRI) is the imaging method of choice to confirm radicular involvement, particularly in patients with ongoing neurologic deficit.
Source: International Journal of Obstetric Anesthesia - Category: Anesthesiology Authors: Tags: Correspondence Source Type: research
(N Engl J Med. 2018;379:1562–1570) A 36-year-old pregnant woman was evaluated at 33 weeks gestation because of newly diagnosed adenocarcinoma. At 32 weeks’ admission, the patient had presented to another hospital with a history of 3 days of nonradiating, severe pain accompanied by nausea in her lower back that rated 10 on a scale of 10 and originated in the epigastric region and migrated to the upper right quadrant and lower back. On examination, there was tenderness in the right upper quadrant. The gravid uterus was soft, and no abnormal fetal findings were observed. An incidental finding of renal ultrasonogr...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Case Reports Source Type: research
Publication date: Available online 4 January 2019Source: Orthopaedics &Traumatology: Surgery &ResearchAuthor(s): Jean Charles Le Huec, Andreas Tsoupras, Amelie Leglise, Paul Heraudet, Gabriel Celarier, Bengt SturressonAbstractThe sacro-iliac joint (SIJ) located at the transition between the spine and the lower limbs is subjected to major shear forces. Mobility at the SIJ is very limited but increases during pregnancy and the post-partum period. Familiarity with the anatomy and physiology of the SIJ is important. The SIJ is a diarthrodial joint that connects two variably undulating cartilage surfaces, contains synov...
Source: Orthopaedics and Traumatology: Surgery and Research - Category: Orthopaedics Source Type: research
Publication date: January 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 1Author(s): Hisao Osada, Shokichi Teramoto, Hirotsune Kaijima, Tomoya Segawa, Osamu Miyauchi, Masaji Nagaishi, Makio Shozu, Keiichi Kato, Victor GomelAbstractStudy ObjectiveTo evaluate the efficacy of a nonsurgical treatment for cervical pregnancy (CP) and cesarean section scar pregnancy (CSP).DesignRetrospective clinical study (Canadian Task Force classification III).SettingPrivate assisted reproductive technology practice.PatientsNineteen women with CP (n = 16) or CSP (n = 3), including 6 patients ...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Rationale: Being required to perform neurosurgery on a pregnant woman is rare, but occasionally unavoidable. In these cases, clinical anesthesiologists are confronted with conflicting information and few evidence-based guidelines. Patient concerns: Here, we describe the successful anesthetic management of a 24-week pregnant woman with macroprolactinoma who underwent endonasal transsphenoidal resection of pituitary adenoma. Diagnoses: According to the prolactin (PRL) level and magnetic resonance imaging (MRI) results, the patient was diagnosed with macroprolactinoma and kept stable after taking the regular bromocrip...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
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