International journal of obstetric anesthesia
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Int J Obstet Anesth · Jul 1994
Anesthetic management of a parturient with mixed mitral valve disease and uncontrolled atrial fibrillation.
This case report describes the anesthetic management of a 32-year-old parturient with combined severe mitral regurgitation and moderate mitral stenosis, complicated by fast atrial fibrillation. The advantageous effects of epidural analgesia during labor and vaginal delivery and the importance of invasive monitoring are discussed. We also report the rare complication of right bundle branch block related to the use of a pulmonary artery catheter.
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Int J Obstet Anesth · Jul 1994
Acid aspiration prophylaxis in 202 obstetric anaesthetic units in the UK.
A postal survey of obstetric anaesthetic units in the UK was conducted by questionnaire to gain information about current acid aspiration prophylaxis. Information regarding the delivery rate and the caesarean section rate under regional techniques was also requested. ⋯ Sodium citrate and the H(2) antagonist ranitidine remain the drugs most commonly used for acid aspiration prophylaxis. However, the number of departments carrying out routine prophylaxis for patients in active labour has fallen from 75% in 1988 to 57% in the current survey.
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Int J Obstet Anesth · Jul 1994
An unusual case of sudden desaturation following induction of anaesthesia for caesarean section.
In the following case report an episode of sudden and rapid desaturation, occurring soon after induction of anaesthesia in a fit preoxygenated obstetric patient, resulted from the use of a Manley minute volume divider which had become purged with nitrous oxide.