International journal of obstetric anesthesia
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Int J Obstet Anesth · Apr 2006
Comment Letter Case ReportsMeningitis following intrathecal catheter placement after accidental dural puncture.
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Int J Obstet Anesth · Apr 2006
Letter Clinical TrialContinuous spinal anesthesia with Spinocath for obstetric analgesia.
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Int J Obstet Anesth · Apr 2006
Review Case ReportsAnesthetic management for cesarean section in moyamoya disease: a report of five consecutive cases and a mini-review.
We report five consecutive cases of neuraxial anesthesia for cesarean section in women with moyamoya disease. Either epidural or combined spinal-epidural anesthesia was provided, with adequate sedation using intravenous diazepam and/or opioid(s). ⋯ The neonates were all in good health. The literature is reviewed on the anesthetic management for cesarean section in patients with moyamoya disease.
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Int J Obstet Anesth · Apr 2006
ReviewPractical management of the parturient with congenital heart disease.
Cardiac disease is becoming more common in women presenting for maternity care and is a major cause of maternal mortality in the UK. We present a review of the management of parturients with congenital heart disease, focusing on practical aspects and the problems that may be expected.
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Int J Obstet Anesth · Apr 2006
Randomized Controlled Trial Comparative StudyA randomised comparison of 0.5% bupivacaine with a lidocaine/epinephrine/fentanyl mixture for epidural top-up for emergency caesarean section after "low dose" epidural for labour.
When extending a fentanyl-containing, low-dose labour epidural for emergency caesarean section it has been shown that there is no difference in time to surgical readiness between plain bupivacaine 0.5% and mixtures of lidocaine/epinephrine or lidocaine/bupivacaine/epinephrine. However, it is not known whether adding fentanyl to the lidocaine/epinephrine mixture would increase speed of onset or improve the efficacy of the mixture when topping up for an emergency caesarean section. ⋯ The use of a lidocaine/epinephrine/fentanyl mixture conferred no clear statistically significant benefit over the use of plain 0.5% bupivacaine when used to extend fentanyl containing low-dose labour epidural analgesia for emergency caesarean section, but the lidocaine solution is cheaper and less toxic than the alternatives.