International journal of obstetric anesthesia
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Int J Obstet Anesth · Apr 2012
Case ReportsAcute intrathecal haematoma following neuraxial anaesthesia: diagnostic delay after apparently normal radiological imaging.
We describe a case of intrathecal haematoma following combined spinal-epidural anaesthesia for caesarean section. The parturient was previously well with no risk factors for haematoma development. ⋯ Incorrect interpretation of clinical findings and magnetic resonance imaging contributed to the delay in definitive treatment. We discuss the difficulties in diagnosis, image interpretation and the need for a specialist opinion when abnormal neurological symptoms persist despite apparently normal imaging.
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Int J Obstet Anesth · Apr 2012
Letter Randomized Controlled TrialTwo doses of spinal bupivacaine for caesarean delivery in severe preeclampsia: a pilot study.
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Int J Obstet Anesth · Apr 2012
Pharmacokinetics of a loading dose of intravenous paracetamol post caesarean delivery.
The postpartum period affects drug disposition, but data of intravenous paracetamol loading dose pharmacokinetics immediately following caesarean delivery have not yet been reported. ⋯ Pharmacokinetics of intravenous paracetamol have been estimated following caesarean delivery. Although limited to a loading dose shortly after surgery, the results are clinically relevant since this is the first description in this patient population. These data provide evidence on which to base further integrated pharmacokinetic/pharmacodynamic studies in peripartum analgesia.