72 research outputs found
Epidural patch with autologous platelet rich plasma: a novel approach
No full textWe aimed to perform an epidural patch using platelet rich plasma (PRP), which has the potential to regenerate and heal tissues via degranulation of platelets, in a 34-year-old parturient suffering from persistent post-dural puncture headache (PDPH) after failed epidural blood patch (EBP). After her admission to our unit, we reconfirmed the clinical and radiologic diagnosis of PDPH. Cranial MRI with contrast showed diffuse pachymeningeal thickening and contrast enhancement with enlarged pituitary consistent with intracranial hypotension. Clinical and radiological improvements were observed 1 week after the epidural patch using autologous PRP. Therefore, we recommend using autologous PRP for epidural patching in patients with incomplete recovery after standard EBP as a novel successful approach
Management of Postpartum Haemorrhage
No full textPostpartum haemorrhage is the leading cause of maternal mortality worldwide. However, postpartum haemorrhage-related deaths are potentially preventable with timely diagnosis and management. The present review addresses the management of postpartum haemorrhage algorithmthat includes the use of uterotonics, non-surgical (balloon tamponade) or surgical (sutures, artery ligations, and/or hysterectomy) techniques,and/or endovascular radiologic interventions, antifibrinolytic (tranexamic acid), and procoagulant (fibrinogen concentrate) drugs based on theinternational and national guidelines updated with recent evidences.</p
A comparison of the effects of intrathecal ropivacaine and bupivacaine during cesarean section
No full textAim: To compare the effects of intrathecal plain bupivacaine or ropivacaine with those of opioids on sensory and motor block characteristics during cesarean section (C/S)
Obstetric anesthesia for co-morbid conditions
No full textThis book presents general measures and offers a comprehensive overview of anesthetic considerations for specific serious medical problems in pregnant patients, with a focus on the anesthetic management of non-obstetric disorders during pregnancy and pregnancy-induced diseases. Although many books on this topic are available, this unique volume addresses specific disorders that may be encountered in daily obstetric anesthesia practice and discusses in detail serious medical problems during pregnancy. As such it is a valuable tool, providing targeted information particularly on the anesthetic considerations and management of not only non-obstetric diseases during pregnancy but also pregnancy- induced diseases.https://ecommons.aku.edu/books/1120/thumbnail.jp
How neuraxial labor analgesia differs by approach: dural puncture epidural as a novel option
No full textBackground and aimNeuraxial analgesia techniques are not limited to just standard epidural and CSE blocks.Anovel approach called dural puncture epidural (DPE) which is a modification of CSE in terms of practice has gained popularity after itsdescription and use in theobstetric population. The aim of this review is to address the practice of DPE technique as a novel option by reviewing its benefits as well as side and/or adverse effects and to understand how neuraxial labor analgesia differs by approach based on the information available in the current literatureDiscussionDespite controversies and concerns, morerapid onset of analgesia, early bilateral sacral analgesia,lower incidence of asymmetric block and fewer maternal and fetal side effects are provided with DPE when compared to epidural.ConclusionDPE offers a favorable risk-benefit ratio for management of neuraxial analgesia as a novel option
What Do Current Information and Evidence Suggest to Us for Oxytocin Use During Caesarean Section?
No full textOxytocin is the first-line agent in the prevention and treatment of uterine atony and maintenance of uterine tone. Since there are several different practices related to the use of oxytocin during caesarean sections, we would like to address the latest information and evidence for rational oxytocin use
Intrathecal hyperbaric or isobaric bupivacaine and ropivacaine with fentanyl for elective caesarean section
No full textObjective. We aimed to investigate the efficacy of either plain or hyperbaric solutions of intrathecal bupivacaine and ropivacaine on maternal block characteristics, complications, side effects and neonatal parameters to find out which is superior in a single study
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