Extending epidural analgesia for emergency Caesarean section.
نویسندگان
چکیده
1 Challand C, Struthers R, Sneyd JR, et al. Randomized controlled trial of intraoperative goal-directed fluid therapy in aerobically fit and unfit patients having major colorectal surgery. Br J Anaesth 2012; 108: 53–62 2 Pearse R, Dawson D, Fawcett J, et al. Early goal-directed therapy after major surgery reduces complications and duration of hospital stay. A randomised, controlled trial [ISRCTN38797445]. Crit Care 2005; 9: R687–93 3 Connors AF Jr, Speroff T, Dawson NV, et al. The effectiveness of right heart catheterization in the initial care of critically ill patients. SUPPORT Investigators. J Am Med Assoc 1996; 276: 889–97
منابع مشابه
The National Institute of Clinical Excellence (NICE) guidelines for caesarean sections: implications for the anaesthetist.
INTRODUCTION The bodies involved; Background; Aims of the guidelines; Evidence and grading of recommendations SUMMARY OF RECOMMENDATIONS AFFECTING ANAESTHETIC PRACTICE Provision of information and consent Classification of urgency of caesarean section Planned caesarean section Factors in intrapartum care affecting likelihood of caesarean section Factors with no influence on caesarean section ra...
متن کاملExtending epidural analgesia for emergency Caesarean section: a meta-analysis.
There is no high-level evidence supporting an optimal top-up solution to convert labour epidural analgesia to surgical anaesthesia for Caesarean section. The aim of this meta-analysis was to identify the best epidural solutions for emergency Caesarean section anaesthesia, with respect to rapid onset and low supplementation of intraoperative block. Eleven randomized controlled trials, involving ...
متن کاملA case of unilateral Horner's syndrome diagnosed in retrospect following epidural analgesia during labour and caesarean section.
Horner's syndrome is a rare complication of epidural analgesia in labour. Although it is a sign of high sympathetic block, patients are usually haemodynamicaly stable. We report a case of undiagnosed Horner's syndrome complicating epidural analgesia in labour, where a standard dose of local anaesthetic was given for an emergency caesarean section without problems. This may confirm the benign na...
متن کاملWhat is the failure rate in extending labour analgesia in patients with a body mass index ≥ 40 kg/m2compared with patients with a body mass index < 30 kg/m2? a retrospective pilot study
BACKGROUND Early utilisation of neuraxial anaesthesia has been recommended to reduce the need for general anaesthesia in obese parturients. The insertion and management of labour epidurals in obese women is not straight-forward. The aim of this pilot study was to compare the failure rate of extension of epidural analgesia for emergency caesarean section, in pregnant women with a body mass index...
متن کاملEmergency Caesarean section: best practice.
Good multidisciplinary communication is crucial to the safe management of women requiring non-elective Caesarean section. Anaesthetists should participate actively in resuscitation of the fetus in utero; relief of aortocaval compression is paramount. Epidural top-up with levobupivacaine 0.5% is the anaesthetic of choice for women who have been receiving labour epidural analgesia. If epidural to...
متن کاملTotal spinal following labour epidural analgesia managed with non-invasive ventilation.
A 30-year-old woman developed total spinal anaesthesia during establishment of labour analgesia via an epidural catheter The subsequent respiratory failure was successfully managed with non-invasive ventilation. This report describes the use of non-invasive ventilation in the parturient and the process of managing the parturient safely in an appropriately monitored environment. This case displa...
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ورودعنوان ژورنال:
- British journal of anaesthesia
دوره 108 5 شماره
صفحات -
تاریخ انتشار 2012