International journal of obstetric anesthesia
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Int J Obstet Anesth · Apr 2008
Randomized Controlled Trial Comparative StudyA randomized comparison of levobupivacaine, bupivacaine and ropivacaine with fentanyl, for labor analgesia.
To compare the analgesic efficacy of epidural infusions of levobupivacaine, bupivacaine and ropivacaine in labor. ⋯ All three regimens were effective during first stage of labor although pain scores were higher in those receiving levobupivacaine. Motor block was greater with bupivacaine than with levobupivacaine.
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Int J Obstet Anesth · Apr 2008
Randomized Controlled Trial Comparative StudyThe incidence of maternal fever during labor is less with intermittent than with continuous epidural analgesia: a randomized controlled trial.
This prospective, randomized study was performed to see if intermittent labor epidural analgesia was protective against maternal intrapartum fever, compared to continuous epidural infusion. ⋯ Intermittent epidural injections appear to protect against intrapartum fever in the first 4 hours of labor analgesia, compared to continuous infusion. This may be due to intermittent partial recovery of heat loss mechanisms between injections. Neonatal sepsis evaluation rates were similar in the two groups.
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Int J Obstet Anesth · Apr 2008
Case ReportsCare of a parturient with preeclampsia, morbid obesity, and Crouzon's syndrome.
We present the case of a 31-year-old woman with severe preeclampsia, morbid obesity, and a craniofacial syndrome who developed respiratory failure necessitating intubation and delivery by cesarean section. Her airway management was complicated by supraglottic edema and macroglossia. ⋯ After delivery of the infant, tracheostomy was performed to provide a secure airway until the supraglottic edema resolved over the subsequent two weeks. The airway implications of preeclampsia and Crouzon's syndrome are reviewed.
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Int J Obstet Anesth · Apr 2008
Case ReportsAnaesthetic management of an obstetric patient with Pompe disease.
Pompe disease (Glycogen storage disease type II) leads to abnormal glycogen deposition in various vital organs resulting in multiple systemic sequelae. We present the anaesthetic management for caesarean section of a 31-year-old parturient with known Pompe disease. ⋯ She underwent urgent caesarean section under regional anaesthesia resulting in the birth of a healthy baby girl. To our knowledge, this is the first reported case of both spinal anaesthesia for caesarean section and successful live birth in a patient with Pompe disease.