Cardiorespiratory arrest following combined spinal epidural anaesthesia for Caesarean section

Myint, Ye; Bailey, P.W.; Milne, Brian

doi:10.1111/j.1365-2044.1993.tb07180.x

Cited by 37 publications

(10 citation statements)

References 14 publications

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“…If there has been accidental or deliberate dural puncture (i.e. combined spinal-epidural) it should be borne in mind that there might be a route for a dangerous excess of opioid to reach the intrathecal compartment [39]. Unless there is hepatic dysfunction, paracetamol is given regularly to all women.…”

Section: Postoperative Concernsmentioning

confidence: 99%

Emergency Caesarean section: best practice*

Levy

2006

Anaesthesia

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Good multidisciplinary communication is crucial to the safe management of women requiring non-elective Caesarean section. Anaesthetists should participate actively in resuscitation of the fetus in utero; relief of aortocaval compression is paramount. Epidural top-up with levobupivacaine 0.5% is the anaesthetic of choice for women who have been receiving labour epidural analgesia. If epidural top-up fails to provide bilateral light touch anaesthesia from S5 -T5, a combined spinalepidural technique with small intrathecal dose of local anaesthetic is a useful approach. Preeclampsia is not a contra-indication to single-shot spinal anaesthesia, which is the technique of choice for most women presenting for Caesarean section without an epidural catheter in situ. Induction and maintenance doses of drugs for general anaesthesia should not be reduced in the belief that the baby will be harmed. Early postoperative observations are geared towards the detection of overt or covert haemorrhage.

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Section: Postoperative Concernsmentioning

confidence: 99%

Emergency Caesarean section: best practice*

Levy

2006

Anaesthesia

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“…Nach der subarachnoidalen Morphininjektion besteht ein größeres hypothetisches Risiko für das Auftreten einer späten Atemdepression als nach Injektion lipophiler Opioide. In der Literatur finden sich einige Fälle von Bradypnoe innerhalb von 24 Stunden und eine Kasuistik eines Atemstillstands, allerdings nach epiduraler Morphininjektion im Rahmen einer kombinierten Spinal-/Epiduralanästhesie (CSE) [25,26]. Obwohl in der angloamerikanischen Literatur meistens 150 µg Morphin s. a. gegeben werden, sollte eine Dosis von 100 µg aus Sicherheitsgründen nicht überschritten werden [27].…”

Section: Morphinunclassified

Geburtshilfliche Anästhesie Teil 2: Etablierte Standards und neue Perspektiven

Kranke¹,

Annecke²,

Bremerich³

et al. 2018

Frauenheilkunde up2date

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“…Morphininjektion besteht ein größeres hypothetisches Risiko für das Auftreten einer späten Atemdepression als nach Injektion lipophiler Opioide. In der Literatur sind einige Fälle von Bradypnoe innerhalb von 24 Stunden und eine Kasuistik eines Atemstillstands, allerdings nach epiduraler Morphininjektion im Rahmen einer kombinierten Spinal-/Epiduralanästhesie (CSE), publiziert [25,26]. Obwohl in der angloamerikanischen Literatur meistens 150 µg Morphin subarachnoidal gegeben werden, sollte eine Dosis von 100 µg aus Sicherheitsgründen nicht überschritten werden [27].…”

Section: Morphin Nach Der Subarachnoidalenunclassified

Geburtshilfliche Anästhesie: Altbewährtes, Kontroversen und neue Perspektiven – Teil 2

Kranke¹,

Annecke²,

Bremerich³

et al. 2017

Anästhesiol Intensivmed Notfallmed Schmerzther

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Since 1975, a plethora of lectures within the context of annual meetings relevant for the clinical care has been summarized in "what's new in obstetric anesthesia" by the society for Obstetric anesthesia and Perinatology which can be recommended to everyone interested in anaesthesiology in the delivery room. After the death of Gerard W. Ostheimer, Professor of Anaesthesiology at Brigham and Women's Hospital in Boston, Massachusetts, it became renamed the Gerard W. Ostheimer "what's new in obstetric anesthesia" lecture to honor his contributions to regional anesthesia and obstetric anaesthesia. Each year the event held by selected professional representatives and their imprint in leading anesthesia journals give insight into a critical appraisal of recent literature and the possible consequences for - but not only - the anaesthetic delivery room practice.A similar event has been established in Germany for more than 16 years (first event on April 1, 2000, most recently held on February 27, 2016, in Munich): the obstetrical anesthesia symposium of the academic working group "regional anesthesia and obstetrical anesthesia" [1], [2]."Evergreens" or "hot topics" with regard to anaesthesiological delivery room practice are presented and discussed regularly. The lectures often reveal the subtle change of the issues being debated much earlier than traditional textbook chapters do. This manuscript summarizes important findings from the last symposium held in 2016. Part I focuses on relevant causes for maternal morbidity and mortality as well as preventive measures, pregnancy in obese patients and sepsis in obstetric anaesthesia. Part II addresses established standards and new perspectives in the direct obstetric setting regarding epidural analgesia, post-dural puncture headache, anaesthesia and analgesia during and after caesarean section, haemodynamic monitoring during cesarean section and postpartum haemorrhage.

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Cardiorespiratory arrest following combined spinal epidural anaesthesia for Caesarean section

Cited by 37 publications

References 14 publications

Emergency Caesarean section: best practice*

Emergency Caesarean section: best practice*

Geburtshilfliche Anästhesie Teil 2: Etablierte Standards und neue Perspektiven

Geburtshilfliche Anästhesie: Altbewährtes, Kontroversen und neue Perspektiven – Teil 2

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