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Category: Obstetric Anaesthesia

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: english

Failed tracheal intubation is more common in the obstetric population despite widespread adoption of failed intubation drills and equipment advances. This tutorial provides a practical approach to safe obstetric airway management and the actions to take when problems arise including measures to maintain oxygenation and appropriate decision making.

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: spanish

El rescate celular intraoperatorio en obstetricia es una opción o alternativa segura a la transfusión de sangre alogénica durante una hemorragia postparto. Este tutorial describirá como trabaja el circuito de rescate celular y revisa las indicaciones, contraindicaciones, ventajas, desventajas y riesgos del rescate celular intraoperatorio en obstetricia.

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: chinese

孕产妇早期预警评分(MEWS)系统是一项旨在能早期发现患病母体,以致于有机会进行干预并防止病情恶化的评分系统。此教程将讨论MEWS的临床应用及其证据支持。

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: chinese

硬膜外分娩镇痛系列的第二篇文章介绍了4例需要确定最合理椎管内镇痛技术的病例,它涵盖了硬膜外麻醉失败的原因以及如何采取措施纠正错误。

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: spanish

Se ha demostrado que el Despertar Accidental durante la Anestesia General (DAAG) es más común en la práctica obstétrica que en cualquier otra área de la anestesia. Los factores que contribuyen a este aumento del riesgo incluyen estrés o ansiedad materna, cirugía de emergencia y el intervalo "intravenoso-inhalatorio". Este tutorial describe algunas estrategias para manejar este riesgo incrementado.

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: spanish

El manejo de la mujer embarazada con una historia de adicción o abuso de sustancias puede ser desafiante. Este tutorial se enfoca en los efectos fisiopatológicos de la adicción a drogas, administrar atención perioperatoria segura y alcanzar una analgesia efectiva tanto durante el trabajo de parto como en el post-operatorio de cesárea.

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: english

Accidental Awareness during General Anaesthesia (AAGA) has been demonstrated to be more common in obstetric practice than in any other area of anaesthesia. Factors contributing to this increased risk include maternal stress or anxiety, emergency surgery and the “intravenous-inhalational” interval. This tutorial describes some strategies for managing this increased risk.

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: english

The management of the pregnant woman with a history of addiction or substance abuse can be challenging. This tutorial focuses on the pathophysiological effects of drug addiction, providing safe perioperative care and achieving effective analgesia both during labour and post-caesarean section.

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: spanish

El Puntaje de Advertencia Temprana Materna (PATM) es un sistema diseñado para ayudar a la detección temprana de madres enfermas y potencialmente permite la oportunidad de intervenir y prevenir el deterioro. Este tutorial discute la aplicación del PATM y la evidencia detrás de su uso.

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: chinese

产科术中回收式自体输血对产后出血是一项安全有效的替代异体输血的技术。本教程将介绍自体血液细胞回收循环工作流程和回顾产科术中回收式自体输血技术应用的指征、并发症、优缺点和风险。

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: english

The Maternal Early Warning Score (MEWS) is a system designed to help early detection of sick mothers and potentially allows the opportunity to intervene and prevent deterioration. This tutorial discusses the application of MEWS and the evidence behind its use.

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: english

Intraoperative cell salvage in obstetrics is a safe adjunct or alternative treatment to allogenic blood transfusions during a postpartum hemorrhage. This tutorial will describe how the cell salvage circuit works and review the indications, contraindications, advantages, disadvantages and risks of intraoperative cell salvage in obstetrics.

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: chinese

这一系列的两篇文章对硬膜外阻滞用于分娩镇痛提供了一个概述。第一篇文章论述了硬膜外分娩镇痛的适应症和禁忌症、局部解剖及阻滞所需平面等。

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: french

La péridurale pendant le travail est sûre et bien acceptée ; elle procure une analgésie efficace aux parturientes. La diminution des doses limite le bloc moteur, ne modifie pas le déroulement du travail, et a un minimum d’effets sur la mère et le fœtus. La péridurale pendant le travail peut également assurer l’anesthésie pour une extraction instrumentale ou une césarienne.

Angela Enright, MB, FRCPC, Kate Grady, BSc, MB, BS, FRCA, FFPMRCA, FRCOG, Faye Evans, MD Journal of Obstetrics and Gynaecology Canada (Oct 2015)

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: spanish

El segundo artículo de esta serie sobre analgesia epidural en el trabajo de parto presenta cuatro casos que requieren identificar la técnica neuroaxial más apropiada. Se aborda el por qué la epidural puede fallar y como estas fallas pueden ser rectificadas.

Posted in: ATOTW > Obstetric Anaesthesia 2018 Language: portuguese

O segundo artigo desta série sobre epidural para trabalho de parto apresenta 4 casos que exigem a identificação da técnica neuraxial mais adequada. O artigo abrange porque as epidurais falham e como essas falhas podem ser corrigidas.

Posted in: Video > Obstetric Anaesthesia 2017 Language: english

Every year around 290,000 women die due to complications in pregnancy and childbirth. 90% of these deaths are preventable. Can you imagine facing difficulties during birth in an environment where access to safe anaesthesia and surgery is limited? Happy Birth Days is an insight into everyday childbirth in Tanzania, and into the Safer Anaesthesia From Education (SAFE) obstetric anaesthesia course which brings Tanzanian anaesthesia providers together for training on how to address the major causes of maternal mortality and give the safest possible care. Happy Birth Days defines access to safe anaesthesia and surgery, not as a luxury, but as a basic human right - with the potential to save the lives of hundreds of thousands of mothers and babies around the world.

Posted in: ATOTW > Obstetric Anaesthesia 2017 Language: english

The second article of this labour epidural series features 4 cases requiring identification of the most appropriate neuraxial technique. It covers why epidurals fail and how these failures may be rectified.

Posted in: ATOTW > Obstetric Anaesthesia 2017 Language: spanish

Los dos artículos de esta serie proporcionarán una visión general de la analgesia epidural en el trabajo de parto. La primera parte cubre las indicaciones y contraindicaciones para la colocación de una epidural en el trabajo de parto, la anatomía y las técnicas neuroaxiales disponibles

Posted in: ATOTW > Obstetric Anaesthesia 2017 Language: english

The two articles in this series will provide an overview of epidurals for labour analgesia. The first article covers the indications and contraindications for labour epidurals, anatomy and the range of neuraxial approaches available.

Posted in: ATOTW > Obstetric Anaesthesia 2017 Language: spanish

La Esclerosis Múltiple es una enfermedad autoinmune del sistema nervioso central que afecta mundialmente a 1 millón de personas, de los cuales 2 tercios son mujeres, y muchas de ellas en edad fértil. Los efectos del embarazo en la progresión de la enfermedad, su evolución, así como las consideraciones anestésicas serán discutidas en este tutorial

Posted in: ATOTW > Obstetric Anaesthesia 2017 Language: chinese

多发性硬化是中枢神经系统自身免疫性疾病,全世界发病人数为100万人,其中三分之二是女性,多数为育龄期妇女。本教程探讨了妊娠对多发性硬化疾病进展的影响、妊娠预后以及麻醉注意事项

This article defines standards and makes recommendations to help guide maternity and critical care providers in establishing and managing a maternal critical care service. Originally published as Anaesthesia Tutorial of the Week #310, 27 October 2014, edited by Matt Rucklidge.

Posted in: ATOTW > Obstetric Anaesthesia 2017 Language: english

Multiple Sclerosis is an autoimmune disease of the central nervous system that effects 1 million people worldwide, of which two-thirds are women and many are in their child-bearing years. The effects of pregnancy on disease progression, pregnancy outcome as well as anesthetic considerations is discussed in this tutorial.

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