International journal of obstetric anesthesia
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Int J Obstet Anesth · Jan 2011
General anesthesia for cesarean delivery at a tertiary care hospital from 2000 to 2005: a retrospective analysis and 10-year update.
Complications from general anesthesia for cesarean delivery are a leading cause of anesthesia-related mortality. As a consequence, the overall use of general anesthesia in this setting is becoming less common. The impact and implications of this trend are considered in relation to a similar study performed at our institution 10 years ago. ⋯ The use of general anesthesia for cesarean delivery is low and declining. These trends may reflect the early and increasing use of neuraxial techniques, particularly in parturients with co-existing morbidities. A significant reduction in exposure of trainees to obstetric general anesthesia has been observed.
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Int J Obstet Anesth · Jan 2011
Letter Case ReportsDangers of rapid oxytocin administration in Eisenmenger's Syndrome.
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Several previous publications demonstrate the significant haemodynamic effects of oxytocin in healthy pregnant women, but there is only one publication of the oxytocin effects in women with severe preeclampsia. We investigated the haemodynamic effects of oxytocin in women with severe preeclampsia using invasive haemodynamic monitoring. ⋯ The haemodynamic effects of oxytocin in women with severe preeclampsia may be less predictable compared to findings in healthy pregnant women, suggesting that oxytocin should be given with caution in women with severe preeclampsia.