International journal of obstetric anesthesia
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Int J Obstet Anesth · May 2018
Case ReportsAnesthetic management of mosaic Turner's syndrome posted for elective cesarean delivery after spontaneous pregnancy.
Turner's syndrome, one of the most common sex chromosome abnormalities in females, is caused by loss of part or all of an X chromosome. We report a case of mosaic Turner's syndrome, posted for elective cesarean delivery under low-dose sequential combined spinal-epidural anesthesia. ⋯ The patient was managed successfully under regional anesthesia, which is generally a preferred technique to general anesthesia, to avoid sympathetic stimulation during intubation and emergence. Further, this technique may avoid potential complications associated with difficult airway management.
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Int J Obstet Anesth · May 2018
Multicenter Study Comparative StudyEffect of method of anesthesia on the reproductive and obstetric outcomes of heterotopic pregnancies.
Anesthesia is commonly used for surgical termination of the extrauterine component of heterotopic pregnancy. We sought to evaluate the effects of general and regional anesthesia during salpingectomy on reproductive and obstetric outcomes of heterotopic pregnancies. ⋯ With respect to reproductive and obstetric outcomes, this retrospective study found no difference between general anesthesia and regional anesthesia used for early heterotopic pregnancy.
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Int J Obstet Anesth · May 2018
Randomized Controlled Trial Comparative StudyEducating anesthesia residents to obtain and document informed consent for epidural labor analgesia: does simulation play a role?
Informed consent is required before placing an epidural. At our hospital, teaching of residents about this is done informally at the bedside. This study aimed to assess the ability of anesthesia residents to acquire and retain knowledge required when seeking informed consent for epidural labor analgesia. It assessed how well this knowledge was translated to clinical ability, by assessing the verbal consent process during an interaction with a standardized patient. ⋯ In this small study, a didactic teaching method proved better than simulation-based teaching in helping residents to gain knowledge needed to obtain informed consent for epidural labor analgesia.