C-Section Anesthesia Adequacy With Two Sodium Thiopental Doses C-Section Anesthesia Adequacy With Two Sodium Thiopental Doses
This study aimed to determine the optimal sodium thiopental dose for Caesarean section which balances depth of anesthesia with the safety of the neonate. Should we still be using STP for c-sections?BMC Anesthesiology
So this happened yesterda, C section, in a 22 year old 38 weeks preg otherwise healthy pt. my attending said: you do everything, I’ll only intervene if something is wrong or the pt is in danger. I used 8 mg heavy bupi, 25 mcg fent, 100 morph. Got a nice spinal, pt is stable, surgery went without any problem. halfway trough my attending (young about 2 years ouf of residency) got relieved by another attendig (older, near retirement). I present the pt and the meds we used. He got very... Read more
Transfus Clin Biol. 2021 Oct 8:S1246-7820(21)00477-8. doi: 10.1016/j.tracli.2021.09.010. Online ahead of print.ABSTRACTOBJECTIVE: The current study has been conducted to identify risk factors associated with blood transfusion in women undergoing cesarean section (C-section). A detailed account of risk factors associated with the blood transfusion will ultimately prevent unnecessary crossmatching in the hospital setups, leading to the conservation of declining blood supplies and resources without subjugating the quality of care.MATERIAL AND METHODS: We performed a rigorous literature search using electronic databases, inclu...
ConclusionsA high index of suspicion and close attention to the pattern and characteristics of the headache, coupled with a meticulous neurologic examination and neuroimaging, can help to achieve timely diagnosis of this serious entity. Investigation with head computed tomography or magnetic resonance imaging is vital.
ConclusionTimely identified malplacentation as well as adequate medical and surgical measures taken by an experienced team of obstetricians and anesthesiologists can contribute to preservation of the uterus and thus the life of mother and neonate.
ConclusionThe present study demonstrated that, among patients who received spinal anesthesia with bupivacaine and fentanyl as adjuvant for elective for cesarean section, prophylactic intravenous 8 mg ondansetron compared to dexamethasone significantly decreases hypotension, HR fluctuation, yet the need for rescue doses for ephedrine were significantly higher in ondansetron.
ConclusionsWe concluded that either intrathecal nalbuphine (0.8 mg) combined with (10 mg) Bupivacaine or intrathecal fentanyl (25 µg) combined with (10 mg) Bupivacaine improves intraoperative analgesia and prolongs early postoperative analgesia in cesarean section with significantly lower incidence of side effects as shivering, pruritis, nausea and vomit ing in Nalbuphine.
ConclusionAdding of epinephrine to local anesthetics (such as lidocaine 2% in dose-related manner 1:200.0000) prolonged anesthetic effect by more than double of its original anesthetic time, This prolongation on anesthetic effect of local anesthesia by epinephrine helps in eariy mobilization; early breast feeding and less hospital duration stays. No complications (local nor systemic) developed with local infiltration of post-caesarean section incision with lidocaine 2% even aficr adding epinephrine in dose-related manner 1:200.000
ConclusionNorepinephrine can be used as an alternative vasopressor to maintain maternal blood pressure during spinal anesthesia for cesarean delivery, with no adverse effect on neonatal outcome.
ConclusionQuadratus lumborum block was the most effective technique in providing analgesia after cesarean section without associated hemodynamic instability in comparison to transversus abdominis plane block and even more time covering to rescue opioid.
ConclusionWe concluded that either intrathecal nalbuphine (0.8 mg) or intrathecal fentanyl (25 µg) combined with Bupivacaine improves intraoperative analgesia and prolongs early post-operative analgesia in cesarean section. There was no significant difference with regard to: Peak sensory block level, Maximum motor block level, systolic blood pressure, diast olic blood pressure, oxygen saturation, and heart rate.