International journal of obstetric anesthesia
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Int J Obstet Anesth · Feb 2019
Case ReportsEpidural hematoma following low molecular weight heparin prophylaxis and spinal anesthesia for cesarean delivery.
Epidural hematoma is a very uncommon complication of spinal anesthesia. Its incidence has been reported to be between 1:200 000-250 000 in the obstetric population following neuraxial anesthesia. ⋯ Strategies to decrease venous thromboembolism include pharmacologic prophylaxis with unfractionated or low molecular weight heparin. We report a case of spinal-epidural hematoma occurring in a parturient who received spinal anesthesia for a planned, repeat cesarean delivery after low molecular weight heparin thromboprophylaxis.
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Int J Obstet Anesth · Feb 2019
Letter Case ReportsPerioperative considerations for in utero repair of myelomeningocele.
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Int J Obstet Anesth · Feb 2019
Interprofessional provider attitudes toward the initiation of epidural analgesia in the laboring patient: are we all on the same page?
The timing of initiation of neuraxial labor analgesia should ultimately depend on patient preference although obstetricians, anesthesiologists and nurses may influence decision-making. We hypothesized that provider groups would have similar attitudes toward the timing of epidural placement, but some identifiable differences could be used to improve understanding and communication among providers. ⋯ There were differences between providers in factors that may impact the timing of epidural placement and in their self-perceived familiarity with epidural management. These present an opportunity for furthering interprofessional education and collaboration.