International journal of obstetric anesthesia
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Int J Obstet Anesth · Jul 1994
An unusual case of sudden desaturation following induction of anaesthesia for caesarean section.
In the following case report an episode of sudden and rapid desaturation, occurring soon after induction of anaesthesia in a fit preoxygenated obstetric patient, resulted from the use of a Manley minute volume divider which had become purged with nitrous oxide.
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Int J Obstet Anesth · Jul 1994
The incidence of herpes simplex virus labialis after cesarean delivery.
Epidural and subarachnoid opioids have been associated with the development of oral herpes simplex lesions. Because of this risk, some anesthesiologists avoid neuraxial morphine in parturients with a history of herpes simplex virus labialis. When we began using neuraxial opioids for analgesia after cesarean delivery, we did not see any increased incidence of facial lesions. ⋯ Neuraxial morphine did not increase the risk of labial lesions significantly (3.5% vs. 2.6%). Despite published data to the contrary, we found no correlation between neuraxial morphine and the risk of facial herpes virus lesions in women after cesarean delivery. We offer patients the option of neuraxial morphine for analgesia after cesarean delivery despite any history of oral herpes lesions.