International journal of obstetric anesthesia
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Int J Obstet Anesth · Oct 2009
Case ReportsAcupuncture in the management of post-partum headache following neuraxial analgesia.
Women presenting with low pressure post-partum headache following neuraxial techniques are frequently offered an epidural blood patch, despite its inherent risks. We present two parturients with classical symptoms of low-pressure headache, who each received neuraxial labour analgesia without a documented dural puncture with a Tuohy needle. Both parturients were successfully managed using acupuncture rather than an epidural blood patch.
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Failed intubation is relatively common in the obstetric patient. Overall, there has been a decline in experience of general anaesthesia in obstetrics. The level of anaesthetic preparedness in the event of a difficult obstetric intubation is unknown. ⋯ Essential airway equipment was readily available in the event of a difficult obstetric intubation, with the exception of a fiberoptic bronchoscope. Few units conduct difficult airway training.
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Int J Obstet Anesth · Oct 2009
Editorial CommentBlood transfusions: more is not necessarily better.