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- Xiwen Zheng, Zuhair Siddiqui, Nick Anderson, Chen-Miao Chen, Madhabi Chatterji, Richard Smiley, Ruth Landau, and Marie-Louise Meng.
- From the Department of Anesthesiology, Columbia University Irving Medical Center, New York, New York; and.
- A A Pract. 2020 Apr 1; 14 (6): e01174.
AbstractRecognition and treatment of maternal hypotension during epidural anesthesia administration for intrapartum cesarean delivery preserves maternal-fetal perfusion. A case that required quality assurance review uncovered lapses in maternal hemodynamic monitoring during the transition to intrapartum cesarean delivery anesthesia. To address this, a practice outline was designed for trainee's education describing intrapartum epidural dosing for cesarean delivery and adequate blood pressure monitoring. The time-lapse between epidural dosing and subsequent blood pressure was evaluated before and after the introduction of our educational tool. The time-lapse between blood pressure measures decreased to <10 minutes (10.78-13.92 vs 8.8-9.76 minutes).
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