International journal of obstetric anesthesia
-
Int J Obstet Anesth · May 2019
A 10-year update: national survey questionnaire of obstetric anesthesia units in Israel.
This nationwide survey was conducted to provide data about the obstetric anesthesia services in Israeli labor and delivery units in 2016. ⋯ No new labor units have opened since 2005, despite huge increases in delivery volume in many units. These units manage increased numbers of epidurals and cesarean deliveries. Use of intrathecal morphine for spinal anesthesia has become more widespread. Future efforts should focus on availability of emergency equipment, separate obstetric anesthesia staffing, and establishing emergency protocols.
-
Int J Obstet Anesth · May 2019
Case ReportsAnaesthetic management for caesarean section of a parturient with a known difficult airway and closed spinal dysraphism.
Many anaesthetists consider patients with existing neurological deficits, untreated spinal pathology or those having undergone major spinal intervention to be precluded from undergoing neuraxial anaesthesia. While this is partly rooted in fears of litigation there is also a lack of consensus of the best practice in the anaesthetic management of these patients. ⋯ She successfully underwent delivery under neuraxial blockade for the delivery of her fourth child. We believe that by undergoing a thorough multidisciplinary clinical evaluation, including the extensive use of neuroimaging and ultrasound, it may be possible to plan and perform safe neuraxial anaesthesia.