International journal of obstetric anesthesia
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Int J Obstet Anesth · Aug 2022
ReviewWhat is new in Obstetric Anesthesia in 2020: a focus on research priorities for maternal morbidity, mortality, and postpartum health.
Advances in obstetric anesthesiology have historically exemplified how scientific progress can have a transformational impact on patient safety practices. Profound reductions in anesthesia-related maternal mortality in the 20th century highlighted the specialty of anesthesiology as a leader in safety and care quality. ⋯ Obstetric anesthesiologists have unique perspectives on systems of care, education and training, and device innovation. An interdisciplinary team approach to research and innovation, as well as systems based and health policy work, presents an opportunity for anesthesiologists to contribute to solutions that reduce maternal morbidity and mortality and improve postpartum health for all people.
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Int J Obstet Anesth · Aug 2022
Multicenter StudyQuantitative blood loss after vaginal delivery: a retrospective analysis of 104 079 measurements at 41 institutions.
Peripartum quantitative blood loss (QBL) measurement is recommended over visual estimation. However, QBL measurement after vaginal delivery has been inadequately evaluated. The primary aim of this study was to determine the characteristics of QBL measurements from a large, multicenter cohort of patients having vaginal deliveries. We also determined the incidence of postpartum hemorrhage (PPH) and the relationship between gravimetric QBL from weighed sponges vs. volumetric QBL from liquid drape or suction cannister contents. ⋯ Results from this large set of QBL measurements and the PPH incidence provide normative "real-world" clinical care values that can be expected as hospitals transition from estimated blood loss to QBL to assess the blood loss at vaginal delivery.
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Int J Obstet Anesth · Aug 2022
ReviewThe role of total intravenous anaesthesia for caesarean delivery.
Obstetric general anaesthesia technique usually involves intravenous induction and maintenance with volatile agents. Total intravenous anaesthesia has gained in popularity in non-obstetric practice because of environmental concerns associated with volatile inhalational anaesthetics and evidence of a superior recovery profile. ⋯ However, there are practical barriers to utilising total intravenous anaesthesia in obstetric anaesthesia. We discuss the evidence and potential role of total intravenous anaesthesia for caesarean delivery.