International journal of obstetric anesthesia最新文献

{"title":"Spinal anesthesia for cesarean delivery in a laboring patient with known cranial arachnoid cyst: a case report","authors":"M. Wen ,&nbsp;T. Anwer ,&nbsp;M. Mooney ,&nbsp;W. Camann ,&nbsp;J. Carabuena","doi":"10.1016/j.ijoa.2024.104320","DOIUrl":"10.1016/j.ijoa.2024.104320","url":null,"abstract":"<div><div>Arachnoid cysts are fluid-filled cavities that are usually asymptomatic and do not require surgical intervention. However, there are concerns and limited literature on the safety of neuraxial procedure in obstetric patients with cranial arachnoid cysts. We describe the anesthetic management of a pregnant patient with a large arachnoid cyst with mass effect on the cerebellum who presented in labor. After a multidisciplinary discussion, it was concluded that neuraxial labor anesthesia and labor would be appropriate. Ultimately, the patient received spinal anesthesia for cesarean delivery for fetal intolerance to labor.</div></div>","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"61 ","pages":"Article 104320"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143183476","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":"Sacral erector spinae plane block for labor analgesia: a case report.","authors":"Saverio Paventi, Francesco Marrone, Carmine Pullano","doi":"10.1016/j.ijoa.2024.104322","DOIUrl":"https://doi.org/10.1016/j.ijoa.2024.104322","url":null,"abstract":"","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":" ","pages":"104322"},"PeriodicalIF":2.6,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927061","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":"In response to: Accuracy of Spanish and English-generated ChatGPT responses to commonly asked patient questions about labor epidurals.","authors":"Antonio Gonzalez Fiol, Sharon C Reale","doi":"10.1016/j.ijoa.2024.104315","DOIUrl":"https://doi.org/10.1016/j.ijoa.2024.104315","url":null,"abstract":"","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":" ","pages":"104315"},"PeriodicalIF":2.6,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449015","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":"Assessing the accuracy and quality of TikTok as a source of medical information on neuraxial labor analgesia","authors":"B.M. Bak ,&nbsp;A. Streff ,&nbsp;R.S. D’Souza ,&nbsp;E.E. Sharpe","doi":"10.1016/j.ijoa.2024.104310","DOIUrl":"10.1016/j.ijoa.2024.104310","url":null,"abstract":"<div><h3>Background</h3><div>Neuraxial labor analgesia is the most effective method of pain relief during childbirth. Despite its proven efficacy and safety, misconceptions about neuraxial analgesia persist. This cross-sectional study aimed to evaluate the accuracy and quality of TikTok videos on neuraxial labor analgesia, hypothesizing that many would contain inaccurate or low-quality information.</div></div><div><h3>Methods</h3><div>Using the “Top” search function in TikTok, we identified the first 150 videos using the following keywords: “epidural,” “epidural for labor,” “epidural for pregnancy,” “epidural experience,” “getting an epidural,” and “epidural risks.” Primary outcomes included the proportion of videos containing inaccurate information and overall quality of videos based on modified DISCERN (mDISCERN) scores.</div></div><div><h3>Results</h3><div>Twenty-six (10%) of the 266 included videos contained inaccurate information. Median (interquartile range = IQR) mDISCERN score for all included videos was 1.0 (IQR = 2.0), indicating poor quality. Videos from medical sources scored higher in quality (median = 2.0, IQR = 1.0) than non-medical sources (median = 0.0, IQR = 2.0; <em>P</em> &lt;0.001), however both scores were below the mDISCERN threshold for high video-quality.</div></div><div><h3>Conclusion</h3><div>This study highlights the presence of inaccurate information on popular social media platforms such as TikTok regarding neuraxial labor analgesia. Many videos are of low quality and lack comprehensive, balanced, and unbiased information. This poses a significant risk to patient understanding and informed decision-making. Medical professionals and organizations should actively engage on platforms such as TikTok to disseminate accurate, high-quality information, thereby helping to combat the spread of misleading information.</div></div>","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"62 ","pages":"Article 104310"},"PeriodicalIF":2.6,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421328","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":"Letter in response to: \"Upper back, neck and shoulder pain during labor epidural analgesia: a quality improvement initiative\".","authors":"Anna Maria Biava, Gianni Cipriani, Endrit Malja, Federico Bilotta","doi":"10.1016/j.ijoa.2024.104313","DOIUrl":"https://doi.org/10.1016/j.ijoa.2024.104313","url":null,"abstract":"","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":" ","pages":"104313"},"PeriodicalIF":2.6,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864163","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":"Accuracy of Spanish and English-generated ChatGPT responses to commonly asked patient questions about labor epidurals.","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1016/j.ijoa.2024.104308","DOIUrl":"https://doi.org/10.1016/j.ijoa.2024.104308","url":null,"abstract":"","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":" ","pages":"104308"},"PeriodicalIF":2.6,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812741","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":"Rethinking personal statements submitted for obstetric anesthesia fellowship: beyond human-written or artificial intelligence-generated.","authors":"Shigeki Matsubara","doi":"10.1016/j.ijoa.2024.104309","DOIUrl":"https://doi.org/10.1016/j.ijoa.2024.104309","url":null,"abstract":"","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":" ","pages":"104309"},"PeriodicalIF":2.6,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812759","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":"Infrared thermographic assessment of cutaneous temperature changes during labour epidural analgesia initiation: an observational pilot study","authors":"A. Miglani ,&nbsp;A. Borkowska ,&nbsp;B. Murphy ,&nbsp;D. O’Flaherty ,&nbsp;C.L. McCaul","doi":"10.1016/j.ijoa.2024.104304","DOIUrl":"10.1016/j.ijoa.2024.104304","url":null,"abstract":"<div><h3>Background</h3><div>Inadequate labour epidural analgesia within 30 to 45 minutes of insertion is typically considered primary epidural failure and deemed unsuccessful. Early prediction of analgesic success would have clinical benefit, enabling corrective interventions. Sympathectomy accompanying a successful epidural block can cause foot temperature changes. We sought to evaluate the relationship between foot temperature changes and successful epidural, defined as adequate analgesia in 45 minutes of epidural administration. For the purpose of this study, we defined primary epidural failure as inadequate analgesia within 45 minutes of administration.</div></div><div><h3>Methods</h3><div>Following ethical committee approval, this observational study was conducted in a tertiary level obstetric centre between January 2021 and March 2024. Patients attending for induction of labour were included: those with labour epidural analgesia comprised the epidural study group, and those without served as a control group. A FlirT540 infrared thermography camera was used to take bilateral foot images every 5 minutes for 30 minutes. Images were taken following epidural administration in the epidural group, and at any convenient time once in established labour in the control group. We studied temperature changes over time in the both groups, and compared the temperature changes in patients with successful and failed epidurals.</div></div><div><h3>Results</h3><div>Thirty-eight patients were included in the epidural group and 11 in the control group. Twenty-nine patients (76.3%) had successful analgesia and nine patients (23.7%) had primary epidural failure. Patients with successful analgesia had a statistically significant rise in temperature after 10 minutes. The maximum rate of increase was between 5 and 15 minutes and was 0.5 (0.1)°C per minute on both sides. Primary epidural failure was associated with minimal temperature changes, while all patients who had a 2°C rise in hallux temperature at 10 minutes had successful analgesia.</div></div><div><h3>Conclusions</h3><div>Sympathetic blockade associated with a successful analgesic epidural block produces cutaneous temperature elevation at the plantar surface of the hallux. These can be detected within 10 minutes of epidural administration and have a potential role in guiding timely troubleshooting of an unsuccessful epidural.</div></div>","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"62 ","pages":"Article 104304"},"PeriodicalIF":2.6,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421329","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":"Lumbar epidural analgesia in a nulliparous patient with a low thoracic spinal meningeal cyst and sacral Tarlov cysts: a case report","authors":"James Taylor ,&nbsp;Jonathan Collins","doi":"10.1016/j.ijoa.2024.104306","DOIUrl":"10.1016/j.ijoa.2024.104306","url":null,"abstract":"<div><div>Extradural meningeal cysts are rare CSF-filled dural diverticula, which may complicate the provision of neuraxial anesthesia, and there is a paucity of literature to guide anesthetic management of pregnant patients presenting with extradural meningeal cysts. We report the safe provision of labor epidural analgesia to a parturient with a low-thoracic type I extradural meningeal cyst and review the literature describing this pathology.</div></div>","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"62 ","pages":"Article 104306"},"PeriodicalIF":2.6,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143430025","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":"Letter to the Editor, comment on: “Pre-oxygenation using high flow humidified nasal oxygen or face mask oxygen in pregnant people – a prospective randomised controlled crossover non-inferiority study”","authors":"Raghuraman M. Sethuraman,&nbsp;Revathi Varadarajan,&nbsp;Shruthi Vinothkumar,&nbsp;Ravela Lakshmi Sravya","doi":"10.1016/j.ijoa.2024.104303","DOIUrl":"10.1016/j.ijoa.2024.104303","url":null,"abstract":"","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"62 ","pages":"Article 104303"},"PeriodicalIF":2.6,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421330","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}