A Survey of Obstetric Perianesthesia Care Unit Standards

Wilkins, Karen; Greenfield, Mary Lou V. H.; Polley, Linda S.; Mhyre, Jill M.

doi:10.1213/ane.0b013e31819f6f98

Cited by 19 publications

(4 citation statements)

References 24 publications

(21 reference statements)

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“…This is a very important question and one of the main questions about the anesthetic drugs used for IVF procedures is their effects on the oocyte and the embryo ( 21 , 22 ). However, when we administer local anesthetics in the subarachnoid space and use spinal anesthesia for these patients, the blood level of the anesthetic drugs is really very much lower ( 23 - 25 ), and this is the most possible explanation for the findings of our study in which the outcome is better for the spinal anesthesia group. This explanation for our findings shows higher chance of IVF success in such patients; this would be in concordance with a number of other similar studies ( 4 , 7 , 26 ).…”

Section: Discussionmentioning

confidence: 72%

Pregnancy Outcome Using General Anesthesia Versus Spinal Anesthesia for In Vitro Fertilization

et al. 2013

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BackgroundThere is a considerable rate of fertility failure and this causes a great burden of untoward effects for patients. Usually a considerable number of these patients undergo anesthesia for their treatment.ObjectivesThis study was designed to compare the effects of general and spinal anesthesia on these patients.Patients and MethodsIn a randomized clinical trial, after taking informed written consent from the patients, 200 patients entered the study; 100 in each. During a 2 year period, women aged 20 to 40 years entered the study (one group receiving spinal anesthesia and the other, receiving general anesthesia). Ovum retrieval protocols were the same. Nonparametric and parametric analyses were used for data analysis. P value less than 0.05 was considered significant.ResultsThere was no difference between the two groups regarding demographic variables. 15 of 100 patients (15%) in the general anesthesia group and 27 of 100 patients (27%) in the spinal anesthesia group had successful pregnancy after IVF; so, spinal anesthesia increased significantly the chance of IVF success (P value < 0.001; Chi Square).ConclusionsThe results of this study demonstrated that spinal anesthesia increased the chance of fertilization success.

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Section: Discussionmentioning

confidence: 72%

Pregnancy Outcome Using General Anesthesia Versus Spinal Anesthesia for In Vitro Fertilization

et al. 2013

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“…20 Fortyfive percent of institutions do not require their L&D nurses to have any training specific to postanesthesia nursing care. A survey of 135 obstetric anesthesia directors in North American academic institutions asked them for information about their postcesarean recovery rooms on L&D, and reported some disturbing results.…”

Section: Immediate Postpartum Care Of the Parturientmentioning

confidence: 99%

The Anesthesiologist’s Role During Attempted VBAC

Hawkins

2012

Clinical Obstetrics &Amp; Gynecology

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American College of Obstetricians and Gynecologists' guidelines on vaginal birth after cesarean had both intended and unintended consequences for anesthesiologists. Epidural analgesia continues to play an important role in patient acceptance of a trial of labor after prior cesarean delivery. It does not impact the success rate of vaginal birth after cesarean and may be a diagnostic tool when uterine rupture occurs. Preanesthesia evaluation and counseling should occur early in the patient's care. Intrapartum management includes appropriate oral intake and close communication between anesthesiologist and obstetrician. If uterine rupture or postpartum hemorrhage occur, appropriate algorithms should be followed.

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“…Als "Substandard Care" wird eine Versorgung bezeichnet, deren Qualität interdisziplinär und interprofessionell bedingt unterhalb des akzeptierten Facharztstandards liegt. Diese war sowohl 1985 (20 von 20 Fällen), als auch im Zeitraum von 2003-2005 (31 von 31 Fällen) ein wesentlicher Faktor aller anästhesieassoziierten Todesfälle.in vielen Fällen auch nicht den minimalen anästhesiologischen Aufwachraumstandards[17,18] eine Situation, wie sie vermutlich vielerorts auch auf Deutschland zutrifft. In der gemeinsamen Stellungnahme der DGAI und der DGGG wird daher postuliert, dass die postpartale Überwachung geburtshilflicher Patientinnen nach einer Anästhesie den gleichen Sicherheitsanforderungen einer lückenlosen und intensiven Überwachung entsprechen muss wie diejenige nichtgeburtshilflicher Patienten[19].…”

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