Current opinion in anaesthesiology
-
Curr Opin Anaesthesiol · Jun 2017
ReviewCurrent applications of big data in obstetric anesthesiology.
The narrative review aims to highlight several recently published 'big data' studies pertinent to the field of obstetric anesthesiology. ⋯ 'Big data' research has important implications for obstetric anesthesia care and warrants continued study. Real-time electronic surveillance is a potentially useful application of big data technology on the labor and delivery unit.
-
Curr Opin Anaesthesiol · Jun 2017
ReviewThe use of vasopressors during spinal anaesthesia for caesarean section.
Hypotension remains one of the most researched subjects in obstetric anaesthesia. The purpose of this study is to review the most recent published articles on the use of vasopressors during spinal anaesthesia for caesarean section. ⋯ Evidence continues to support phenylephrine as the first-line vasopressor in obstetrics. However, recent research is emerging to suggest that low-dose norepinephrine may be a better alternative. Prophylactic infusions are effective and automated systems have potential for the future.
-
The purpose of this review is to summarize the most recent up to date research data and recommendations regarding anaesthetic management of patients with liver disease undergoing surgery. The incidence of chronic liver disease (CLD) continues to rise and perioperative mortality and morbidity remains unacceptably high in this group. Meticulous preoperative assessment and carefully planned anaesthetic management are vital in improving outcomes in patients with liver disease undergoing surgery. ⋯ Patients with liver disease undergoing anaesthesia pose significant challenges and advanced planning and preparation are required in order to improve perioperative outcomes in this group. VIDEO ABSTRACT: http://links.lww.com/COAN/A43.
-
Curr Opin Anaesthesiol · Jun 2017
ReviewClinical 'pearls' of maternal critical care Part 2: sickle-cell disease in pregnancy.
The current review outlines the challenges in managing pregnant women with sickle-cell anemia, who are at risk of becoming critically ill during pregnancy. ⋯ This is a challenging cohort of pregnant patients who have a significantly increased morbidity and mortality. This review aims to aid management of these patients on the labor ward for both obstetric anesthetists and intensivists.