International journal of obstetric anesthesia
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Int J Obstet Anesth · Jan 2006
Preoperative anxiety and postoperative satisfaction in women undergoing elective caesarean section.
The primary aim was to investigate whether preoperative anxiety in women undergoing elective caesarean section predicts postoperative maternal satisfaction with the process, perceptions of recovery, analgesic use or length of hospital stay. Other factors that might influence postoperative satisfaction were also explored. ⋯ Lower preoperative anxiety is associated with greater maternal satisfaction with elective caesarean section and better recovery. Information provided by anaesthetists and perceived emotional support are also of importance. It may be possible to identify women with high anxiety and facilitate satisfaction and recovery through providing additional supportive input.
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Int J Obstet Anesth · Jan 2006
Case ReportsA case of unilateral Horner's syndrome after combined spinal epidural anesthesia with ropivacaine 10mg/mL for cesarean section.
We report a case of transient unilateral Horner's syndrome during the setting of combined spinal epidural anesthesia for elective cesarean section using ropivacaine 10mg/mL. The pathophysiology of Horner's syndrome and the possible mechanisms in relation to combined spinal epidural anesthesia are also presented.
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We have previously reported that measurement of non-invasive blood pressure during caesarean section under spinal anaesthesia fails in over 50% of cases. We felt that errors would be less likely if blood pressure could be measured at the ankle as it is immobile during caesarean section. The purpose of our study was to determine whether blood pressure measurement at the ankle was equivalent to the arm. ⋯ We cannot recommend the use of the ankle to measure blood pressure during caesarean section.
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Int J Obstet Anesth · Jan 2006
Use of an information leaflet to improve general practitioners' knowledge of post dural puncture headache.
The number of women receiving neuraxial anaesthesia for labour and delivery is increasing. Women are also being discharged into the community sooner after delivery. Thus, complications arising from neuraxial anaesthesia may present to general practitioners, so it is of vital importance that they are familiar with and can manage potential problems associated with these anaesthetic techniques. ⋯ By comparing the two sets of answers, we demonstrated that the leaflet has successfully improved knowledge of post dural puncture headache and other potential sequelae of obstetric epidural analgesia among general practitioners.