Neuraxial analgesia in a parturient with the VACTERL association undergoing labor and vaginal delivery
نویسندگان
چکیده
منابع مشابه
[Neuraxial analgesia in a parturient with the VACTERL association undergoing labor and vaginal delivery].
INTRODUCTION The term VACTERL is an acronym for an association of congenital malformations: including vertebral, anal, cardiac, tracheo-esophageal, renal and limb anomalies. VACTERL anomalies pose a formidable challenge to anesthesiologists. We describe the anesthetic management of a parturient with VACTERL association, who underwent neuraxial analgesia for labor and vaginal delivery. CASE RE...
متن کاملAnesthetic management of a parturient with VACTERL association undergoing Cesarean delivery.
PURPOSE We present the anesthetic management of a parturient with VACTERL association undergoing combined regional and general anesthesia for Cesarean delivery. Defined as a syndrome, VACTERL association comprises at least three of the following abnormalities: vertebral, anal atresia, cardiac, tracheoesophageal, renal, and limb. CLINICAL FEATURES The patient's anatomic abnormalities and comor...
متن کاملPatient-requested neuraxial analgesia for labor: impact on rates of cesarean and instrumental vaginal delivery.
A systematic review, including a meta-analysis, on the timing effects of neuraxial analgesia (NA) on cesarean and instrumental vaginal deliveries in nulliparous women was conducted. Of 20 articles identified, 9 met the inclusion quality criteria (3,320 participants). Cesarean delivery (odds ratio, 1.00; 95% confidence interval, 0.82-1.23) and instrumental vaginal delivery (odds ratio, 1.00; 95%...
متن کاملThe risk of cesarean delivery with neuraxial analgesia given early versus late in labor.
BACKGROUND Epidural analgesia initiated early in labor (when the cervix is less than 4.0 cm dilated) has been associated with an increased risk of cesarean delivery. It is unclear, however, whether this increase in risk is due to the analgesia or is attributable to other factors. METHODS We conducted a randomized trial of 750 nulliparous women at term who were in spontaneous labor or had spon...
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ژورنال
عنوان ژورنال: Brazilian Journal of Anesthesiology (English Edition)
سال: 2018
ISSN: 0104-0014
DOI: 10.1016/j.bjane.2016.05.002