International journal of obstetric anesthesia最新文献

{"title":"Changes in velocimetric indices of uterine and umbilical arteries before and after combined spinal epidural analgesia in laboring women: a prospective cohort study","authors":"J. Vargas ,&nbsp;A. Hirano ,&nbsp;C. Arzola ,&nbsp;S.R. Hobson ,&nbsp;Y. Kunpalin ,&nbsp;K. Downey ,&nbsp;M. Balki","doi":"10.1016/j.ijoa.2025.104770","DOIUrl":"10.1016/j.ijoa.2025.104770","url":null,"abstract":"<div><h3>Background</h3><div>Although combined spinal epidural (CSE) analgesia is an effective technique for labor analgesia, concerns regarding fetal bradycardia still remain. Increased vascular resistance of the uterine (UtA) and/or umbilical arteries (UmA) after CSE could explain the reported occurrence of fetal bradycardia. The aim of this study was to assess the changes in the resistance of UmA and UtA before and after initiation of CSE labor analgesia using ultrasound Doppler pulsatility index (PI).</div></div><div><h3>Methods</h3><div>This was a prospective, observational study in singleton, full-term laboring participants. Doppler ultrasound PI of the UtA and UmA were obtained before and after CSE at 10 and 30 min. The primary outcome was PI at 10 min. The differences in indices were analyzed using paired t-tests or<!--> <!-->Wilcoxon signed-rank tests, and mixed models were used in the exploratory analyses to assess changes over time.</div></div><div><h3>Results</h3><div>Data were analyzed for 30 participants. Compared to baseline, there was a significant increase in mean UtA PI (Δ 27 %, <em>P</em> = 0.029) at 10 min, however no significant difference was observed in the UmA PI. UtA PI showed a significant increase over time (coefficient 0.05, <em>P</em> = 0.002), while no changes were observed in UmA PI or fetal heart rate.</div></div><div><h3>Conclusion</h3><div>Our study suggests that CSE for labor analgesia may be associated with a discrete increase in maternal UtA resistance, however, these changes are not reflected in UmA resistance in the fetus, providing reassurance that CSE with low-dose local anesthetic is a safe analgesic technique in labor.</div></div>","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"64 ","pages":"Article 104770"},"PeriodicalIF":2.3,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145044260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of repeat epidural blood patch for postdural puncture headache after labor epidural analgesia: a single-center retrospective cohort study (2014–2024)","authors":"K. Sassi,&nbsp;J. Debiol,&nbsp;S. Scache,&nbsp;V. Minville","doi":"10.1016/j.ijoa.2025.104767","DOIUrl":"10.1016/j.ijoa.2025.104767","url":null,"abstract":"<div><h3>Background</h3><div>Epidural blood patch remains the gold standard for treating postdural puncture headache following unintentional dural puncture during labor epidural analgesia. However, epidural blood patch may fail in 17–28 % of cases, necessitating repeat procedures. Factors predicting epidural blood patch failure remain poorly understood, limiting the ability to optimize treatment strategies. We aimed to identify independent predictors of repeat epidural blood patch following postdural puncture headache.</div></div><div><h3>Methods</h3><div>We conducted a retrospective observational study at a tertiary maternity center from January 2014 to December 2024. All obstetric patients receiving an epidural blood patch following labor epidural analgesia were included. Demographic, clinical, and procedural variables were analyzed to identify independent predictors of repeat epidural blood patch using multivariable logistic regression. The primary outcome was the need for more than one epidural blood patch to achieve symptom resolution.</div></div><div><h3>Results</h3><div>Among 142 included patients, 39 (27.5 %) required repeat epidural blood patch procedures. Multivariable analysis identified two independent predictors of repeat EBP: earlier timing of first blood patch (OR 0.441 per day delay, 95 % CI 0.270 to 0.721, <em>P</em> = 0.001) and shallower epidural space depth (OR 0.687 per cm, 95 % CI 0.493 to 0.958, <em>P</em> = 0.027). Sensitivity analysis confirmed that EBP performed within 24 h (OR 4.740) and within 48 h (OR 3.689) was associated with significantly higher failure rates. Patients requiring repeat procedures had significantly longer hospital stays (median 5 vs. 4 days, <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Early epidural blood patch administration (≤48 h) and shallow epidural space depth were independently associated with treatment failure. These associations may reflect confounding by indication and require further validation.</div></div>","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"64 ","pages":"Article 104767"},"PeriodicalIF":2.3,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145094880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peripartum management and outcomes of cardiovascular disease in pregnancy: a single-centre retrospective cohort study from Australia (2012–2021)","authors":"E Sanderson ,&nbsp;T Stegeman ,&nbsp;J Elhindi ,&nbsp;L Cope ,&nbsp;JS Dieleman ,&nbsp;D Pasupathy ,&nbsp;D Tanous ,&nbsp;J Brown","doi":"10.1016/j.ijoa.2025.104766","DOIUrl":"10.1016/j.ijoa.2025.104766","url":null,"abstract":"<div><h3>Background</h3><div>Maternal cardiovascular disease (CVD) is a leading cause of maternal mortality. Data on anaesthetic management in patients with CVD is limited.</div></div><div><h3>Methods</h3><div>This ten-year retrospective cohort study of 508 pregnancies in women with CVD, stratified by modified World Health Organization (mWHO) risk category, compared lowrisk (mWHO I-II) (n = 323) and high-risk (mWHO II to III-IV) (n = 185) groups to a control obstetric population (n = 55,153). The primary outcomes were maternal mortality and cardiac failure, secondary outcomes included maternal, obstetric, major anaesthetic, and neonatal complications.</div></div><div><h3>Results</h3><div>There were no maternal deaths, 3 % of patients developed cardiac failure. High risk patents were more likely to deliver by caesarean delivery (CD) than controls (<em>P</em> &lt; 0.01), but low risk were not (<em>P</em> = 1.0). There was no difference in postpartum haemorrhage rates between groups (<em>P</em> = 0.91). Rates of preterm birth, low Apgar score, and stillbirth were higher in high-risk patients than low-risk and control groups (<em>P</em> &lt; 0.01, <em>P</em> = 0.01, <em>P</em> = 0.02, respectively). Maternal cardiac disease influenced decision for preterm birth in 15 %. There was one neonatal death (low-risk group, 0.3 %), comparable to the control population (0.3 %). Labor epidural analgesia was the predominant mode of analgesia for vaginal deliveries in low- and high-risk groups. The most frequent modes of anaesthesia for CD were spinal anaesthesia (61 %) in low-risk and combined spinal epidural (31 %) in high-risk patients. Major anaesthetic complications were rare (0.2 %).</div></div><div><h3>Conclusions</h3><div>This study of peripartum management and outcomes in women with mWHO I-IV cardiovascular risk demonstrated low levels of maternal mortality and morbidity, but increased risk of several adverse outcomes in high-risk CVD. Clinicians should anticipate the risk of preterm birth and need for specialised care in high-risk CVD patients.</div></div>","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"64 ","pages":"Article 104766"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145003661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparative study of patient and provider priorities for cesarean delivery anesthesia care","authors":"Briana Clifton ,&nbsp;Yunseo Linda Park ,&nbsp;Rida Ashraf ,&nbsp;Andrea Gomez Sanchez ,&nbsp;Robert J. McCarthy ,&nbsp;Mark D. Neuman ,&nbsp;Grace Lim","doi":"10.1016/j.ijoa.2025.104760","DOIUrl":"10.1016/j.ijoa.2025.104760","url":null,"abstract":"<div><h3>Introduction</h3><div>Patient priorities for anesthesia during a cesarean delivery are not well defined. Previous studies have explored patient preferences for cesarean delivery anesthesia but have not evaluated patient-centered endpoints unrelated to the physical experience which are known to be important to patients’ birth experiences, such as being treated with respect, communication, and emotional support. The purpose of this study was to compare patients’ and providers’ priorities for cesarean delivery anesthesia care.</div></div><div><h3>Methods</h3><div>This prospective cross-sectional quantitative survey study included patients with recent cesarean deliveries and clinical providers who provide clinical care for cesarean deliveries. Eleven patient-centered factor related to cesarean delivery anesthesia experience were identified based on previously reported findings and results of semi-structured interviews. Participants then completed a forced ranking survey for these 11 factor, ranked in order from most important to least important aspect of cesarean anesthesia care. They also ranked most desired to least desired anesthesia side effects (e.g., pruritus, nausea, pain). Participants also rated their perceived importance of the factor ranked highest and lowest on a 0–10 numeric rating scale (0 = not important at all and 10 = most important imaginable). Rankings from patient and provider groups were compared using Plackett-Luce method using tree-based recursive partitioning.</div></div><div><h3>Results</h3><div>One hundred forty-four respondents (127 patients, 17 providers) were included in the analysis. “Physical safety of the baby” was ranked highest among patients and was higher than the rank assigned by providers (<em>P</em> &lt; 0.001). Although mothers with vs. without self-reported birth trauma each highly prioritized safety of baby, the relative priority placed on this factor was higher among mothers with self-reported birth trauma. For anesthesia-related side effects, patients and providers agreed that memory loss, spinal headaches, and pain or discomfort during surgery, represented high-priority concerns to avoid; drowsiness, shivering, and pruritus were considered lower-priority. There were ranking differences between in person and digital recruited patients.</div></div><div><h3>Conclusion</h3><div>Patients and providers have discordant views on priorities during cesarean delivery, and similar views on priorities for anesthesia-related side effects. A self-reported history of birth trauma, but not pain during cesarean delivery, is associated with high prioritization of physical safety of mother and baby over other cesarean experience priorities. Future clinical care improvements and research are needed to help patients and providers balance the outcomes most important to patients during and after cesarean delivery.</div></div>","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"64 ","pages":"Article 104760"},"PeriodicalIF":2.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145003660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The multicenter perioperative outcomes group (MPOG) learning health system: a model for promoting evidence-based peripartum care","authors":"B.M. Togioka ,&nbsp;S.C. Reale ,&nbsp;T. Klumpner ,&nbsp;M.F. Aziz ,&nbsp;M.R. Mathis","doi":"10.1016/j.ijoa.2025.104765","DOIUrl":"10.1016/j.ijoa.2025.104765","url":null,"abstract":"","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"64 ","pages":"Article 104765"},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144996477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ten plus ten equals twenty: a prospective crossover study evaluating syringe size and speed of epidural injection","authors":"P.T. Vozzo,&nbsp;B. Waldman,&nbsp;R.M. Smiley","doi":"10.1016/j.ijoa.2025.104764","DOIUrl":"10.1016/j.ijoa.2025.104764","url":null,"abstract":"<div><h3>Background</h3><div>For emergent intrapartum cesarean delivery, epidural catheters are dosed as quickly as possible with ∼20 mL of local anesthetic. At our institution, emergency local anesthetics are drawn into two 10 mL syringes, as opposed to a single 20 mL syringe, due to the belief that it is faster to inject medication via two 10 mL syringes. However, it is unclear if using two 10 mL syringes is actually faster. Our hypothesis was that injecting 20 mL through an epidural catheter using one 20 mL syringe is faster than injecting 20 mL using two 10 mL syringes.</div></div><div><h3>Methods</h3><div>In this study, 20 anesthesia professionals were timed while injecting 20 mL of water (simulating a local anesthetic solution) through an epidural catheter using each method, a 20 mL syringe and two 10 mL syringes. Participants were instructed to inject as if they were dosing an epidural for an emergent cesarean delivery. Analysis was by paired-<em>t</em>-test.</div></div><div><h3>Results</h3><div>The mean time of injection was 41.77 seconds ± 11.16 with the 20 mL syringe and 43.32 seconds ± 7.40 with the two 10 mL syringes (<em>P</em> = 0.338). There was, however, a statistically significant difference among men injecting through one 20 mL vs. two 10 mL syringes (37.81 seconds ± 11.22 vs. 41.52 seconds ± 8.10, respectively; <em>P</em> = 0.028), but not among women.</div></div><div><h3>Conclusions</h3><div>There was no difference in injection speed between one 20 mL syringe and two 10 mL syringes, suggesting that anesthesiologists can use whatever size is most comfortable for them.</div></div>","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"64 ","pages":"Article 104764"},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144920167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mothers’ Assistant for Labor analgesia (MALA): a novel artificial intelligence interactive avatar for patient education in obstetric anesthesia","authors":"S. Aditi ,&nbsp;S. Gaurav","doi":"10.1016/j.ijoa.2025.104762","DOIUrl":"10.1016/j.ijoa.2025.104762","url":null,"abstract":"<div><h3>Background</h3><div>Epidural analgesia is the gold standard for labor pain relief, yet performing patient education remains challenging due to time constraints, language barriers, and variable health literacy. Traditional educational approaches often fail to ensure adequate patient understanding. Artificial intelligence (AI) interactive avatars offer a novel solution for delivering standardized, empathetic, and accessible patient education. This study evaluates the content validity and usability of the Mothers’ Assistant for Labor Analgesia (MALA), a multilingual AI avatar designed for obstetric anesthesia education.</div></div><div><h3>Methods</h3><div>A cross-sectional, descriptive validation study was conducted using structured expert review. MALA, a digital interactive avatar supporting 28 languages was developed on the HeyGen, incorporating evidence-based content on epidural analgesia, alternatives, and frequently asked questions. Ten experts (5 obstetric anesthesiologists, 5 obstetricians) independently reviewed the avatar’s interaction and rated 10 domains on a 4-point Likert scale. Content Validity Indices (I-CVI and S-CVI/Ave) were calculated.</div></div><div><h3>Results</h3><div>All domains received high ratings (mean scores ≥ 3.2). The highest scores were for empathy (mean 3.7 ± 0.48), usefulness in decision-making (3.6 ± 0.52), and accuracy (3.4 ± 0.70). Eight domains achieved an I-CVI of 1.00; two domains scored 0.90. The S-CVI/Ave was 0.98, indicating strong expert consensus. Patient Education Materials Assessment Tool also showed high understandability (87.1 %) and actionability (83.3 %).</div></div><div><h3>Conclusion</h3><div>MALA demonstrated excellent content validity and usability as an educational tool for labor analgesia. Integration of AI avatars like MALA may standardize patient education and reduce clinician workload. Future research should assess patient-centered outcomes and clinical integration.</div></div>","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"64 ","pages":"Article 104762"},"PeriodicalIF":2.3,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145003659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Viscoelastic testing in postpartum obstetric hemorrhage: a scoping review commissioned by the Patient-Centered Outcomes Research Institute (PCORI)","authors":"C. Janzen ,&nbsp;D. Zhang ,&nbsp;S. Herman ,&nbsp;I. Mendez ,&nbsp;A. Robertson ,&nbsp;T. Gilliams ,&nbsp;K. Sysawang ,&nbsp;S. Yagyu ,&nbsp;A. Motala ,&nbsp;D. Tolentino ,&nbsp;S. Hempel","doi":"10.1016/j.ijoa.2025.104763","DOIUrl":"10.1016/j.ijoa.2025.104763","url":null,"abstract":"<div><h3>Background</h3><div>Hemorrhage is a leading cause of maternal mortality worldwide. Most deaths due to postpartum hemorrhage are considered preventable. Viscoelastic testing rapidly measures mechanical properties of coagulation in real time, providing insights into blood clot formation, stability and dissolution. The objective of this scoping review was to identify and map use of viscoelastic testing, including thromboelastography and rotational thromboelastometry, in obstetrics for postpartum hemorrhage.</div></div><div><h3>Methods</h3><div>As part of a larger landscape review, we followed a detailed workplan outlining methods a priori (<span><span>https://osf.io/mzr6p</span><svg><path></path></svg></span>). Literature searches in July 2025 included 14 databases searched from inception. Reporting followed PRISMA-ScR.</div></div><div><h3>Results</h3><div>The scoping review shows a growing evidence base of viscoelastic testing for postpartum hemorrhage. We identified 106 research studies reported in 156 publications, but few published randomized controlled trials. Many observational studies, predominantly published in Europe, document experiences with viscoelastic testing in practice, although many are still only published in abbreviated form (e.g. conference abstracts). Barriers to adoption include cost, provider knowledge and acceptance, training, and research challenges. Future research needs to assess the effect of viscoelastic testing protocols on maternal morbidity and organizational impact by using methods suitable for rare and largely unpredictable events. We outline specific recommendations for practice and research.</div></div><div><h3>Conclusions</h3><div>Viscoelastic testing offers point-of-care monitoring of coagulation, enabling real-time decision support to guide transfusion therapy. Protocols may reduce transfusion volume, postoperative bleeding, and prevent overtreatment, but more clinical guidance and rigorous multicenter studies to determine the impact of protocols for use in postpartum hemorrhage care empirically are needed.</div></div>","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"64 ","pages":"Article 104763"},"PeriodicalIF":2.3,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145044259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual reality compared to nitrous oxide for labor analgesia: A feasibility pilot, prospective, randomized, cross-over, non-inferiority study","authors":"R. Yun ,&nbsp;D. Arce ,&nbsp;Z.J.C. Bekemeyer ,&nbsp;G. Michel ,&nbsp;G. Nan ,&nbsp;D.B. Hoang ,&nbsp;T.J. Caruso ,&nbsp;B. Carvalho","doi":"10.1016/j.ijoa.2025.104758","DOIUrl":"10.1016/j.ijoa.2025.104758","url":null,"abstract":"<div><h3>Background</h3><div>Virtual reality (VR) platforms have emerged as a non-pharmacologic labor analgesic. We hypothesized that VR would be non-inferior to nitrous oxide (N₂O) for satisfaction with labor pain relief. The primary aim compared efficacy of VR to N₂O for satisfaction with pain relief during labor.</div></div><div><h3>Methods</h3><div>We conducted a Institutional Review Board approved, prospective, randomized, crossover, non-inferiority study comparing VR to N₂O. The primary outcome was satisfaction with pain relief (verbal numerical rating scale 0––10) post-intervention at 30 minutes. Secondary outcomes were satisfaction with pain relief at 15 min (0–10), change in pain (0–10), anxiety (0–10), ability to cope with pain (0–10), incidence of side effects and therapeutic modality preference. Parturients received 30 minutes of VR and then 30 min of N₂O, with a 5-minute washout between interventions to reduce carryover. The order of VR and N₂O was randomized. A &lt; 2/10 difference between groups was selected as the non-inferiority margin.</div></div><div><h3>Results</h3><div>18 of 20 patients completed the study with 9 in each group. The VR intervention was non-inferior to N₂O for satisfaction with pain relief, change in pain, anxiety, and coping. At 15- and 30-min time intervals, respectively, satisfaction with pain relief difference between VR and N₂O was non-inferior [-0.24, 90 % CI (−1.53, 1.06) and 0.65, 90 % CI (−0.66, 1.95)].</div></div><div><h3>Conclusion</h3><div>Data from this pilot study suggest that VR is a promising non-pharmacological analgesic option that is non-inferior to N₂O for labor pain management. Future larger, well-powered studies are needed to confirm the results of this study.</div></div>","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"64 ","pages":"Article 104758"},"PeriodicalIF":2.3,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144925054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond technical excellence: the human dimensions involved in general anesthesia for emergency cesarean delivery","authors":"S. Orbach-Zinger ,&nbsp;K. Azem ,&nbsp;Y. Binyamin","doi":"10.1016/j.ijoa.2025.104761","DOIUrl":"10.1016/j.ijoa.2025.104761","url":null,"abstract":"","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"64 ","pages":"Article 104761"},"PeriodicalIF":2.3,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}