Journal of Obstetric Anaesthesia and Critical Care最新文献_第7页

Medication errors in a parturient: A huge cost to two lives 产妇用药失误:两条生命的巨大代价

Journal of Obstetric Anaesthesia and Critical Care Pub Date : 2022-07-01 DOI: 10.4103/joacc.joacc_17_22

Manpreet Kaur, Bharat Yalla, A. Trikha

引用次数: 0

A comparison between intrathecal nalbuphine versus fentanyl as an adjuvant with 0.5% hyperbaric bupivacaine for postoperative analgesia in parturients undergoing lower segment cesarean section 0.5%高压布比卡因与芬太尼辅助下段剖宫产术后镇痛的比较

Journal of Obstetric Anaesthesia and Critical Care Pub Date : 2022-07-01 DOI: 10.4103/joacc.joacc_67_21

Neena Jain, S. Sethi, Amrit Saini, Veena Patodi, Kavita Jain, Beena Thada

{"title":"A comparison between intrathecal nalbuphine versus fentanyl as an adjuvant with 0.5% hyperbaric bupivacaine for postoperative analgesia in parturients undergoing lower segment cesarean section","authors":"Neena Jain, S. Sethi, Amrit Saini, Veena Patodi, Kavita Jain, Beena Thada","doi":"10.4103/joacc.joacc_67_21","DOIUrl":"https://doi.org/10.4103/joacc.joacc_67_21","url":null,"abstract":"Background: Nalbuphine when used as an adjuvant to hyperbaric bupivacaine has improved the quality of perioperative analgesia. Fentanyl is a lipophilic opioid with a rapid onset and does not cause respiratory depression and improves duration of sensory anesthesia without producing significant side effects. The aim of this study was to compare intrathecal nalbuphine and fentanyl as adjuvants to hyperbaric bupivacaine for postoperative analgesia in lower segment cesarean section. Methods: A total of 100 American Society of Anesthesiologists (ASA) Physical Status (PS) I and II parturients were enrolled for lower segment cesarean section. Parturients were randomly allocated into 2 groups - Group F (n = 50) received bupivacaine 0.5% (heavy) 1.6 ml (8 mg) + fentanyl 20 μg (0.4 ml) and Group N (n = 50) received bupivacaine 0.5% (heavy) 1.6 ml (8 mg) + nalbuphine 0.4 mg (0.4 ml) under subarachnoid block (total volume = 2 ml). Time of onset and duration of sensory and motor block, Visual Analog Scale (VAS) score, duration of analgesia, sedation, rescue analgesic consumption, APGAR score, hemodynamic changes and adverse effects were noted. Results: Onset of sensory and motor block were significantly faster in Group F while duration of sensory block was significantly longer in Group N (P < 0.05). Duration of analgesia was also significantly longer in Group N (214.34 ± 9.31 min) compared to Group F (195.00 ± 9.18 min) (P < 0.001). No significant hemodynamic changes and adverse effects were noted in both groups (P > 0.05). Conclusion: Both of these drugs can be effectively used as an adjuvant to hyperbaric 0.5% bupivacaine in subarachnoid block for parturients undergoing lower segment cesarean section.","PeriodicalId":16611,"journal":{"name":"Journal of Obstetric Anaesthesia and Critical Care","volume":"12 1","pages":"127 - 132"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41876861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anaesthetic management of a parturient with juvenile parkinson's disease in emergency – A case report 一例青少年帕金森病产妇的急诊麻醉处理

Journal of Obstetric Anaesthesia and Critical Care Pub Date : 2022-07-01 DOI: 10.4103/joacc.joacc_96_21

A. Ramalingam, Divya Devanathan, Rani Ponnusamy

引用次数: 0

Comparison of intravenous infusion versus bolus dose of oxytocin in elective caesarean delivery: A prospective, randomised study 择期剖宫产中静脉输注与口服催产素的比较:一项前瞻性随机研究

Journal of Obstetric Anaesthesia and Critical Care Pub Date : 2022-01-01 DOI: 10.4103/joacc.joacc_33_21

Jigisha Badheka, V. Oza, Nitin Manat, Mayur Patel

{"title":"Comparison of intravenous infusion versus bolus dose of oxytocin in elective caesarean delivery: A prospective, randomised study","authors":"Jigisha Badheka, V. Oza, Nitin Manat, Mayur Patel","doi":"10.4103/joacc.joacc_33_21","DOIUrl":"https://doi.org/10.4103/joacc.joacc_33_21","url":null,"abstract":"Background: Oxytocin (OT) is routinely administered during caesarean delivery to prevent and treat postpartum haemorrhage (PPH). The common adverse effects of intravenous OT are tachycardia, hypotension, chest pain, Electrocardiogram (ECG) changes, nausea and vomiting. We aimed to compare the uterine contractility, haemodynamic changes, need for other uterotonics and adverse effects by comparing the intravenous bolus dose versus infusion dose of OT while retaining its benefits. Methods: Sixty patients undergoing elective caesarean delivery under spinal anaesthesia were randomised to receive OT 3 IU as a bolus (repeat 3 IU at an interval of 3 min) in group B (Bolus) or as an infusion 1 IU per minute in group I (infusion). The uterine tone was assessed by a blinded obstetrician as either adequate or inadequate. The intraoperative heart rate, blood pressure, blood loss and any other adverse events were recorded. Results: The adequacy of uterine tone was more sustained and the requirement of other uterotonics was less in group I. The heart rate increased to 20–25 beats/min at 3–5 min in group B and 8–10 beats/min at 2–4 mins and reached the baseline at 8–9 min in group B as well as in group I. Also, a significant fall in the mean blood pressure was observed at 3–5 min in group B. The ECG changes (ST-T changes) were more common in group B compared to group I. There was no significant difference in the estimated blood loss between the two groups. Conclusion: The infusion dose of OT provides more haemodynamic stability, better uterine tone and fewer adverse effects compared to the bolus dose.","PeriodicalId":16611,"journal":{"name":"Journal of Obstetric Anaesthesia and Critical Care","volume":"12 1","pages":"22 - 27"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42710096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Spontaneous postpartum intracranial haemorrhage: A case report 产后自发性颅内出血1例

Journal of Obstetric Anaesthesia and Critical Care Pub Date : 2022-01-01 DOI: 10.4103/joacc.joacc_81_21

M. Smith, James Walker, Sukruta Pradhan, F. Newton

引用次数: 0

Spinal anaesthesia, a special consideration in antiphospholipid antibody syndrome in pregnancy: A case series 脊髓麻醉是妊娠期抗磷脂抗体综合征的一个特殊考虑因素：一系列病例

Journal of Obstetric Anaesthesia and Critical Care Pub Date : 2022-01-01 DOI: 10.4103/joacc.joacc_74_21

Eesha Banerjee, S. Samanta, Soumya Samal

{"title":"Spinal anaesthesia, a special consideration in antiphospholipid antibody syndrome in pregnancy: A case series","authors":"Eesha Banerjee, S. Samanta, Soumya Samal","doi":"10.4103/joacc.joacc_74_21","DOIUrl":"https://doi.org/10.4103/joacc.joacc_74_21","url":null,"abstract":"Antiphospholipid syndrome (APLA) is an acquired autoimmune disorder, clinically characterised by the development of thrombosis and obstetric morbidities comprising recurrent miscarriages, fetal deaths and premature births resulting from placental insufficiency such as intrauterine growth restriction and pre-eclampsia. It is the most common acquired hypercoagulable state where the focus of management is anticoagulation for the prevention of thrombosis.We report three cases of primary APLA syndrome in parturients at term with history of multiple abortions, being managed with oral aspirin and low molecular weight heparin posted for elective caesarian section. All three parturients were given single shot atraumatic spinal anaesthesia achieving a level of sensory blockade up to T6 since their coagulation profile showed no abnormalities. Antiphospholipid-antibody syndrome requires a multidisciplinary approach during pregnancy where use of anticoagulants may lead to dilemma of their perioperative continuation. Discontinuation of anticoagulants is a double-edged sword requiring careful deliberation on the part of anaesthetist to reduce the risk of perioperative bleeding.","PeriodicalId":16611,"journal":{"name":"Journal of Obstetric Anaesthesia and Critical Care","volume":"12 1","pages":"67 - 69"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43367950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pregnancy in thalassemia: Correspondence 地中海贫血怀孕:通信

Journal of Obstetric Anaesthesia and Critical Care Pub Date : 2022-01-01 DOI: 10.4103/joacc.joacc_106_21

P. Sookaromdee, V. Wiwanitkit

引用次数: 0

Anaesthetic considerations for the parturient with myogenic differentiation-1 gene-related congenital myopathy and pre-eclampsia: A case report 肌源性差异-1基因相关先天性肌病和先兆子痫产妇的麻醉注意事项：一例报告

Journal of Obstetric Anaesthesia and Critical Care Pub Date : 2022-01-01 DOI: 10.4103/joacc.joacc_71_21

H. Misran, David W. Hoppe, Andrew Colls, Y. Ohashi

引用次数: 0

High flow nasal cannula (HFNC) and video laryngoscope (VL) as essential adjuncts in management of obstetric difficult airway: Efficacious tools or simply an industry push! 高流量鼻插管（HFNC）和视频喉镜（VL）作为产科困难气道管理的重要辅助工具：有效的工具或简单的行业推动！

Journal of Obstetric Anaesthesia and Critical Care Pub Date : 2022-01-01 DOI: 10.4103/joacc.joacc_108_21

A. Trikha, Manpreet Kaur

引用次数: 1

Evaluation of 0.25% bupivacaine vs. 0.375% ropivacaine for postoperative analgesia using ultrasound guided transversus abdominis plane block for caesarean section: A comparative study 超声引导下剖宫产术中0.25%布比卡因与0.375%罗比卡因术后镇痛的比较研究

Journal of Obstetric Anaesthesia and Critical Care Pub Date : 2022-01-01 DOI: 10.4103/joacc.joacc_28_21

Damodar Puchakala, V. Joshi, Avanish Bhardwaj

{"title":"Evaluation of 0.25% bupivacaine vs. 0.375% ropivacaine for postoperative analgesia using ultrasound guided transversus abdominis plane block for caesarean section: A comparative study","authors":"Damodar Puchakala, V. Joshi, Avanish Bhardwaj","doi":"10.4103/joacc.joacc_28_21","DOIUrl":"https://doi.org/10.4103/joacc.joacc_28_21","url":null,"abstract":"Background: Pain after Caesarean section is described as moderate to severe by most patients. Ultrasound guided transversus abdominis plane (TAP) block is now increasingly being used for postoperative analgesia in lower abdominal surgeries. Hence this study was undertaken to compare 0.25% Bupivacaine with 0.375% Ropivacaine for postoperative analgesia using TAP block in caesarean section. Methods: Seventy patients were randomized into Group B (n = 35) and Group R (n = 35). TAP block was administered after completion of surgery under ultrasound guidance using 15 mL of 0.25% Bupivacaine in Group B and 15 mL of 0.375% Ropivacaine in Group R on each side of the abdomen. Time to requirement of first analgesic dosage was observed in both the groups. Total analgesic requirement in the first 24 h, visual analogue scale (VAS) scores at 2, 4, 6, 8, 12 and 24 h, patient satisfaction and complications were also noted. Results: Mean time for the first dose of rescue analgesia after completion of surgery was 298.2 ± 93.6 min in Group B and 447.6 ± 85.2 min in Group R (P = 0.0001). Total requirement of Diclofenac Sodium injection was 162.86 ± 46.88 mg in Group B whereas it was only 130.71 ± 44.49 mg in Group R (P = 0.003). VAS at 4,6 and 8 h after surgery were significantly lower in the Ropivacaine group. Conclusion: 0.375% Ropivacaine provided longer duration of analgesia and resulted in lesser analgesic requirement than 0.25% Bupivacaine when used in TAP block after caesarean section.","PeriodicalId":16611,"journal":{"name":"Journal of Obstetric Anaesthesia and Critical Care","volume":"12 1","pages":"17 - 21"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48838084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0