International journal of obstetric anesthesia
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Int J Obstet Anesth · May 2019
Increasing body mass index and abdominal subcutaneous fat thickness are associated with increased skin-to-epidural space distance in pregnant women.
Body mass index does not indicate the distribution of adipose tissue. Central adiposity may be measured using ultrasound measurement of subcutaneous fat thickness. This study determined if the abdominal subcutaneous fat thickness measured correlated with skin-to-epidural space distance at delivery, and compared this with the booking body mass index. ⋯ Booking body mass index had a stronger relationship with skin-to- epidural space distance at delivery than subcutaneous fat thickness, explaining 47% of the variation in the skin-to-epidural distance.
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Int J Obstet Anesth · May 2019
Randomized Controlled TrialEffect of companion presence on maternal satisfaction during neuraxial catheter placement for labor analgesia: a randomized clinical trial.
Companion presence during labour epidural placement reduces maternal anxiety and improves maternal satisfaction.
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Int J Obstet Anesth · May 2019
Case ReportsRotational thromboelastometry (ROTEM®)-guided diagnosis and management of amniotic fluid embolism.
Point-of-care haemostasis testing may be helpful in rapidly diagnosing amniotic fluid embolism.
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Int J Obstet Anesth · May 2019
Case ReportsMultimodal general anesthesia approach for Ex Utero Intrapartum Therapy (EXIT) procedures: two case reports.
High-dose volatile anesthesia is the most common method of achieving uterine relaxation for Ex Utero Intrapartum Therapy (EXIT) procedures. Other methods employ nitroglycerin for additional uterine relaxation with or without remifentanil for additional fetal analgesia. We report a combination approach including one minimum alveolar concentration of volatile anesthetic plus nitroglycerin and remifentanil infusions, to provide timely uterine relaxation under general anesthesia for both mother and fetus, during two EXIT procedures.