International journal of obstetric anesthesia
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Int J Obstet Anesth · Nov 2022
ReviewPeripartum anesthetic management in patients with left ventricular noncompaction: a case series and review of the literature.
This retrospective review focuses on peripartum anesthetic management and outcome of a series of five pregnant women with left ventricular noncompaction (LVNC). ⋯ This case series adds new evidence to that already available about pregnancies among women with LVNC. Favorable obstetrical outcomes were achievable when multidisciplinary teams were prepared to manage the maternal and fetal consequences of intrapartum cardiac arrhythmias and hemodynamic instability.
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Int J Obstet Anesth · Aug 2022
ReviewDiagnostic terminology in Placenta Accreta Spectrum: a scoping review.
Anaesthetic management strategies for Placenta Accreta Spectrum (PAS) remain diverse, and literature interpretation is complicated by a range of terminology. The International Federation for Gynaecology and Obstetrics (FIGO) published guidance in 2018 to improve PAS diagnosis and management by standardising definitions. We mapped the range, clarity and consistency of terminology in literature pertaining to both PAS and anaesthesia, and determined whether this changed followed FIGO guidance. ⋯ Despite international consensus criteria for reporting PAS, the language pertaining to PAS and anaesthesia remains heterogeneous, inconsistent and variably defined. Reporting of PAS should adhere to FIGO criteria to allow unambiguous interpretation of work, and generation of evidence that is transferrable into clinical practice.
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Int J Obstet Anesth · Aug 2022
ReviewWhat is new in Obstetric Anesthesia in 2020: a focus on research priorities for maternal morbidity, mortality, and postpartum health.
Advances in obstetric anesthesiology have historically exemplified how scientific progress can have a transformational impact on patient safety practices. Profound reductions in anesthesia-related maternal mortality in the 20th century highlighted the specialty of anesthesiology as a leader in safety and care quality. ⋯ Obstetric anesthesiologists have unique perspectives on systems of care, education and training, and device innovation. An interdisciplinary team approach to research and innovation, as well as systems based and health policy work, presents an opportunity for anesthesiologists to contribute to solutions that reduce maternal morbidity and mortality and improve postpartum health for all people.
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Int J Obstet Anesth · Aug 2022
ReviewThe role of total intravenous anaesthesia for caesarean delivery.
Obstetric general anaesthesia technique usually involves intravenous induction and maintenance with volatile agents. Total intravenous anaesthesia has gained in popularity in non-obstetric practice because of environmental concerns associated with volatile inhalational anaesthetics and evidence of a superior recovery profile. ⋯ However, there are practical barriers to utilising total intravenous anaesthesia in obstetric anaesthesia. We discuss the evidence and potential role of total intravenous anaesthesia for caesarean delivery.