493 hasil
Menampilkan 1–20 · 0,46 detik · RSS
Journal of Obstetric Anaesthesia and Critical Care
Scopus
ISSN 2249-4472 · Wolters Kluwer Medknow Publications · 493 artikel di indeks
-
Artikel Jurnal
Successful Anesthetic Management of Patients with Pulmonary Hypertension Undergoing Elective Cesarean Section: A Series of 5 Cases
The mortality rates of pulmonary hypertension complicating pregnancy remains high despite advances in treatment options. The normal physiological changes in pregnancy and labor combined with progressive increase in pulmonary vascular resistance may lead to cardiac decompensation in peri- and…
-
Artikel Jurnal
Intrathecal Hyperbaric Levobupivacaine Alone versus Hyperbaric Levobupivacaine with Fentanyl in Elective Cesarean Section – A Randomized Study
Background: The addition of intrathecal opioids to local anesthetics enhances the quality of spinal anesthesia by improving sensory block and prolonging postoperative analgesia. This study aimed to evaluate the safety and efficacy of intrathecal hyperbaric levobupivacaine alone versus hyperbaric…
-
Artikel Jurnal
Anesthetic Management of a Patient with Eisenmenger Syndrome Undergoing Medical Termination of Pregnancy
Eisenmenger syndrome (ES) is a complication that arises from uncorrected congenital heart disease due to large defects that lead to anatomic shunts. Initially, a left-to-right shunt is present because of anatomical variations at birth. Over time, as pulmonary vascular resistance increases and…
-
Artikel Jurnal
Spinal Tuberculosis Presenting as Paraplegia in Pregnancy: A Case Report
Tuberculosis (TB) remains a major global health issue, particularly in low-resource settings, where it significantly contributes to maternal morbidity and mortality. While pulmonary TB is more common, extrapulmonary TB, including spinal involvement, presents unique diagnostic and management…
-
Artikel Jurnal
Correlation of Anthropometric Measurements and Spread of Spinal Anesthesia in Parturients Undergoing Caesarean Section – A Prospective Observational Study
Context: Spinal anesthesia is the widely preferred type of anesthesia for caesarean section. Determining the ideal intrathecal local anaesthetic dose to attain the desired block is a major clinical challenge. Anthropometric measurements can have an impact on the rate at which spinal anesthesia…
-
Artikel Jurnal
Anesthetic Considerations in the Management of Pregnant Women with Heart Disease: A Narrative Review
Cardiac disease in pregnancy, whether congenital or acquired, is an important cause of maternal mortality and morbidity in India. Appropriate peri-pregnancy multidisciplinary management by a cardio-obstetrics team is essential to improve outcomes. The anesthesiologist is an integral part of this…
-
Artikel Jurnal
Comparative Drug Study between 0.75% Hyperbaric Ropivacaine and 0.5% Hyperbaric Bupivacaine in Elective Cesarean Delivery under Spinal Anesthesia
Background: Spinal anesthesia is considered as a suitable option for cesarean sections. Currently, the clinical acceptance of hyperbaric 0.75% ropivacaine for spinal anesthesia has increased. Ropivacaine, as a pure S-enantiomer of bupivacaine, is expected to have a more favorable clinical profile…
-
Artikel Jurnal
Assessment of Nociception in Obstetric Patients During Epidural Analgesia
Introduction and Aim: Nociception monitors have been used to assess pain management in anesthetized patients. The present study was set out to evaluate whether nociception level monitor gives reliable readings during labor in awaken participants, and whether the derived Nociception Levels index is…
-
Artikel Jurnal
Impact of Prophylactic Weight-Based Phenylephrine Infusion on Shivering During Cesarean Delivery– A Prospective Randomized Controlled Trial
Background: Shivering during cesarean delivery under spinal anesthesia is an undesirable complication. Intravenous phenylephrine infusion, at varying doses, decreases the intensity of redistribution hypothermia with no consensus on ideal dosing regimen. We hypothesized that prophylactic infusion of…
-
Artikel Jurnal
Comparison of Haemodynamic Effects of Intravenous Carbetocin Versus Oxytocin for the Prevention of Postpartum Haemorrhage in Patients Undergoing Caesarean Section Under Subarachnoid Block: A Double-Blind Randomised Controlled Trial
Background and Aims: Atonic PPH remains one of the most common causes of mortality among patients undergoing caesarean section. Oxytocin continues to be the first-line uterotonic but has undesirable effects due to its extrauterine receptor action. Carbetocin, a newer oxytocin analogue, has a better…
-
Artikel Jurnal
A Randomized Control Study to Compare the Efficacy Between 0.2% Ropivacaine and 0.15% Ropivacaine for Epidural Analgesia During Labor
Background: Effective pain relief during labor is essential to reduce maternal and perinatal morbidity and to prevent unnecessary cesarean deliveries prompted by maternal anxiety. While both 0.2% and 0.15% concentrations of ropivacaine have demonstrated efficacy in labor analgesia, limited data…
-
Artikel Jurnal
Fluid and Transfusion Strategies in Obstetric Hemorrhage: An Evidence-Based Review
Obstetric hemorrhage remains a leading cause of maternal mortality and severe morbidity worldwide. The management of fluid resuscitation and blood product transfusion in these critical situations has evolved significantly over the past decade. This review explores contemporary evidence-based…
-
Artikel Jurnal
Intraoperative Management of Cesarean Section in a Parturient with a Bidirectional Glenn Procedure: A Case Report
This case report describes the successful intraoperative management of a cesarean section (CS) in a 40-year-old parturient with a history of bidirectional Glenn procedure for complex single-ventricle congenital heart disease. Key anesthetic strategies included combined spinal-epidural anesthesia…
-
Artikel Jurnal
Double Trouble in the Delivery Room: Anesthetic Management of Emergency Caesarean Section in a Parturient with Severe Mitral Stenosis and Aortic Stenosis
Parturients with severe mitral and aortic stenosis [modified World Health Organization Class (mWHO) IV] carries high maternal and fetal risk, particularly during emergency caesarean section. A 33-year-old woman at 35 weeks gestation, diagnosed with chronic rheumatic heart disease involving severe…