International journal of obstetric anesthesia
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Int J Obstet Anesth · Oct 2010
Minimum effective dose of spinal ropivacaine with and without fentanyl for postpartum tubal ligation.
Ropivacaine may be the ideal spinal anesthetic for postpartum tubal ligation due to its medium duration of action, low incidence of side effects and possibly reduced post-anesthetic care unit (PACU) stay. ⋯ Spinal hyperbaric ropivacaine 22 mg with or without fentanyl 10 μg could be used for postpartum tubal ligation surgery.
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Int J Obstet Anesth · Oct 2010
Obstetric anesthesia units in Israel: a national questionnaire-based survey.
This survey was performed to assess the organization and practice of obstetric anesthesia units in Israel. ⋯ In this national appraisal of Israeli obstetric anesthesia services, a notable lack of written protocols, wide variations in staffing, and few specifically trained obstetric anesthesia personnel were observed.
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Int J Obstet Anesth · Oct 2010
Clinical TrialSelf-reported post-discharge symptoms following obstetric neuraxial blockade.
Economic pressures are leading to earlier hospital discharge following delivery, before complications of obstetric neuraxial block may become apparent. Our aim was to estimate the incidence of symptoms presenting post-discharge at a single tertiary obstetric centre. ⋯ New post-discharge symptoms were self-reported by 1.4% of patients following neuraxial blockade. These were not detected during hospital stay despite routine directed post-block review. Only 4% of these symptoms could be directly attributable to neuraxial block.
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Int J Obstet Anesth · Oct 2010
Case ReportsNeuraxial anaesthesia for caesarean section in a patient with narcolepsy and cataplexy.
We report the management of a morbidly obese parturient suffering from narcolepsy with cataplexy who presented for caesarean section. Her symptoms were controlled by modafinil and fluoxetine. We administered epidural anaesthesia successfully; surgery was uneventful and recovery was uncomplicated. We discuss some of the issues surrounding parturients with narcolepsy including drug therapy and choice of anaesthetic technique.