International journal of obstetric anesthesia
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Int J Obstet Anesth · Apr 2009
Case ReportsFulminant peripartum cardiomyopathy rescue with extracorporeal membranous oxygenation.
We report the successful use of extracorporeal membranous oxygenation in a previously healthy parturient with fulminant peripartum cardiomyopathy. Native cardiac function recovered rapidly, with weaning from extracorporeal membranous oxygenation after only 68 h. This case highlights the potential of this lifesaving treatment, in appropriately selected patients, where death seems inevitable. No major complications of extracorporeal membranous oxygenation occurred in this patient.
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Int J Obstet Anesth · Apr 2009
Observational study of continuous spinal anesthesia with the catheter-over-needle technique for cesarean delivery.
Few studies have assessed the efficacy and safety of continuous spinal anesthesia in obstetrics, although placement of a catheter in the intrathecal space theoretically offers advantages in these patients. ⋯ Compared to previous reports, the incidence of block failure and PDPH in this study was unacceptably high and therefore the risks of the technique appear to outweigh the advantages of continuous spinal anesthesia in obstetric practice.
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Int J Obstet Anesth · Apr 2009
Case ReportsSpinal anesthesia for a parturient with the triad of Currarino.
The triad of Currarino, also known as Currarino syndrome or complex, is a rare hereditary syndrome involving a bony sacral defect, an anorectal malformation and a presacral mass. Thus far, only 250 cases have been reported, but milder cases may not be recognized, and many cases may not be published. In addition to disorders of the gastrointestinal and urogenital tracts, sensory and motor deficits may be present. ⋯ Neuraxial anesthesia in patients with congenital malformations of the spine may be complicated or contraindicated, depending on the level and severity of the anatomic abnormality. We present the case of a pregnant woman at 36 weeks of gestation who underwent uncomplicated neuraxial anesthesia for cesarean delivery. When neuraxial anesthesia is contemplated in such patients, they should first receive careful neurologic and radiologic evaluation.
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Int J Obstet Anesth · Apr 2009
Letter Case Reports"Ultra-light" combined spinal-epidural anaesthesia.