Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Invasive placentation is one of the most important causes of postpartum hemorrhage and Cesarean hysterectomies (CHyst). The optimal mode of anesthesia in the management of these patients remains uncertain. The purpose of this study was to review the impact of mode of anesthesia on maternal and neonatal outcomes in women with invasive placentation undergoing Cesarean delivery (CD). ⋯ Having safely performed two-thirds of our cases of CHyst under RA, our study suggests that RA, when compared with GA, is associated with no differences in blood loss or blood transfusion, superior neonatal outcome, and fewer respiratory complications. This suggests that RA can be considered a primary mode of anesthesia for such cases.
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Observational Study
Same-day discharge after craniotomy for supratentorial tumour surgery: a retrospective observational single-centre study.
Enhanced Recovery After Surgery is a multimodal perioperative care pathway designed to achieve early discharge in patients undergoing major surgery. Recent advances in neurosurgery allow for shorter duration of anesthesia and surgery, faster recovery, and earlier discharge from hospital. The purpose of this retrospective observational study was to assess the incidence of early discharge from hospital in patients undergoing craniotomy for supratentorial brain tumours as well as to explore the associated perioperative factors, anesthesia techniques, and complications. ⋯ Same-day discharge from hospital is possible in carefully selected patients after both GA and AC for supratentorial tumour surgery.