International journal of obstetric anesthesia
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Int J Obstet Anesth · Oct 2007
An observational study of the relationship between lumbar epidural space depth and body mass index in Michigan parturients.
Studies of urban parturient populations demonstrate increasing prevalence of obesity, which contributes to difficult epidural catheter placement. The aim of this study was to characterize the relationship between lumbar epidural space depth and body mass index in United States parturients from Michigan. ⋯ When maternal age, gestational age and vertebral interspace are controlled for, increasing body mass index is associated with increasing depth, while increasing maternal age is associated with decreasing depth.
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Int J Obstet Anesth · Oct 2007
Contraindications to regional anaesthesia in obstetrics: a survey of German practice.
We assessed current practice regarding indications and contraindications to regional analgesia and anaesthesia for labour and delivery in Germany. ⋯ Clinical practice varies considerably in Germany. Concerns regarding the use of regional blockade were more prevalent in hospitals with small delivery units. Indications and contraindications are not consistent in Germany and some recommendations or guidelines are needed.
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Int J Obstet Anesth · Oct 2007
Case ReportsAnaesthesia for caesarean section in a patient with acute generalised pustular psoriasis.
We describe a 30-year-old parturient with acute generalised pustular psoriasis who presented for urgent caesarean section. A multidisciplinary team was involved and general anaesthesia was used successfully. ⋯ While generalised pustular psoriasis or impetigo herpetiformis is well recognised in pregnancy, it has not hitherto been reported in obstetric anaesthesia literature. The purpose of this article is to delineate the clinical picture of this disease, its treatment, and the effect on the mother and the fetus.