UK registry of high-risk obstetric anaesthesia: report on neurological disease

May, A.E.; Fombon, F.N.; Francis, Satya

doi:10.1016/j.ijoa.2007.03.016

Cited by 27 publications

(7 citation statements)

References 8 publications

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“…The use of epidural anesthesia in parturients with SB has been reported but is limited to anecdotal case reports [7][8][9][10][11][12][13] and small case series [14][15][16][17] . Most research has reported on outcomes of pregnant women with spina bifida during labor and delivery, with only one small case series describing epidural use for post-operative pain 18 .…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Epidural Analgesia Decreases Narcotic Requirements in Patients with Low Level Spina Bifida Undergoing Urological Laparotomy for Neurogenic Bladder and Bowel

et al. 2019

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Section: Accepted Manuscriptmentioning

confidence: 99%

Epidural Analgesia Decreases Narcotic Requirements in Patients with Low Level Spina Bifida Undergoing Urological Laparotomy for Neurogenic Bladder and Bowel

et al. 2019

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“…Epidural analgesia is possible and mostly successful in case series. 50,51 There is, however, an increased risk of dural puncture due to abnormal supporting ligaments, 49,50 abnormal spread of anaesthetic 50 and technical difficulties in placing these (often due to kyphoscoliosis), which may be improved with the use of ultrasound. The use of ultrasound to accurately locate the midline and measure the depth of the epidural space is becoming more widespread and has also been used to diagnose occult SB.…”

Section: Antenatal Managementmentioning

confidence: 99%

Spina bifida in pregnancy: A review of the evidence for preconception, antenatal, intrapartum and postpartum care

et al. 2018

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Women with spina bifida in pregnancy require complex multi-disciplinary management. Most women have uncomplicated pregnancies; however, complications are more frequent than in ‘low risk’ pregnancies. Careful antenatal planning and management of the complications can optimise outcome. There are currently no guidelines on the management of pregnant women with spina bifida, but there is a growing body of evidence from case reports and series examining the antenatal and postnatal course of these women. In this review, we examine the available literature and provide a framework on the prenatal counselling, antenatal, intrapartum and postnatal management of pregnant women with spina bifida.

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“…[172627] Ideally all such operative interventions should be referred to tertiary care centers with availability of obstetricians, neurosurgeons, neurologists, radiologists and anesthesiologists. Cardio-respiratory evaluation should be thoroughly done as the anesthetic technique is directly impacted by degree of impairment in cardio-respiratory reserve.…”

Section: Medical Diseases Affecting Anaesthetic Management During Prementioning

confidence: 99%

“…Patients who are at high risk of developing intra-operative respiratory insufficiency (kyphoscoliosis) should preferably be administered regional anesthesia in an incremental manner. [172627] Myasthenia gravis should be adequately treated preoperatively with anticholinesterases and regional anesthesia is preferable if respiratory functions are not impaired. [28] Patients with multiple sclerosis should be administered succinylcholine cautiously and only if strongly indicated as they are at high risk of developing hyperkalemia and cardiac arrest due to up-regulation of nicotinic acetylcholine receptors.…”

Section: Medical Diseases Affecting Anaesthetic Management During Prementioning

confidence: 99%

Pregnancy with co-morbidities: Anesthetic aspects during operative intervention

Bajwa

Ghuman

2013

Anesth Essays Res

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The presence of co-morbidities during pregnancy can pose numerous challenges to the attending anesthesiologists during operative deliveries or during the provision of labor analgesia services. The presence of cardiac diseases, endocrinological disorders, respiratory diseases, renal pathologies, hepatic dysfunction, anemia, neurological and musculoskeletal disorders, connective tissue diseases and many others not only influence the obstetric outcome, but can significantly impact the anesthetic technique. The choice of anesthesia during the pregnancy depends upon the type of surgery, the period of gestation, the site of surgery, general condition of patient and so on. Whatever, the anesthetic technique is chosen the methodology should be based on evidentially supported literature and the clinical judgment of the attending anesthesiologist. The list of co-morbid diseases is unending. However, the present review describes the common co-morbidities encountered during pregnancy and their anesthetic management during operative deliveries.

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UK registry of high-risk obstetric anaesthesia: report on neurological disease

Cited by 27 publications

References 8 publications

Epidural Analgesia Decreases Narcotic Requirements in Patients with Low Level Spina Bifida Undergoing Urological Laparotomy for Neurogenic Bladder and Bowel

Epidural Analgesia Decreases Narcotic Requirements in Patients with Low Level Spina Bifida Undergoing Urological Laparotomy for Neurogenic Bladder and Bowel

Spina bifida in pregnancy: A review of the evidence for preconception, antenatal, intrapartum and postpartum care

Pregnancy with co-morbidities: Anesthetic aspects during operative intervention

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