Algorithm for the anesthetic management of cesarean delivery in patients with unsatisfactory labor epidural analgesia

The management of a patient presenting with unsatisfactory labor epidural analgesia poses a severe challenge for the anesthetist wanting to provide safe anesthetic care for a cesarean delivery. Early recognition of unsatisfactory labor analgesia allows for replacement of the epidural catheter. The d...

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Detalles Bibliográficos
Autores principales: Vaida, Sonia, Cattano, Davide, Hurwitz, Debra, Mets, Berend
Formato: Online Artículo Texto
Lenguaje:English
Publicado: F1000Research 2015
Materias:
Opinion Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4482209/
https://www.ncbi.nlm.nih.gov/pubmed/26167271
http://dx.doi.org/10.12688/f1000research.6381.1
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author Vaida, Sonia
Cattano, Davide
Hurwitz, Debra
Mets, Berend
author_facet Vaida, Sonia
Cattano, Davide
Hurwitz, Debra
Mets, Berend
author_sort Vaida, Sonia
collection PubMed
description The management of a patient presenting with unsatisfactory labor epidural analgesia poses a severe challenge for the anesthetist wanting to provide safe anesthetic care for a cesarean delivery. Early recognition of unsatisfactory labor analgesia allows for replacement of the epidural catheter. The decision to convert labor epidural analgesia to anesthesia for cesarean delivery is based on the urgency of the cesarean delivery, airway examination, and the existence of a residual sensory and motor block.  We suggest an algorithm which is implemented in our department, based on the urgency of the cesarean delivery.
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spelling pubmed-44822092015-07-09 Algorithm for the anesthetic management of cesarean delivery in patients with unsatisfactory labor epidural analgesia Vaida, Sonia Cattano, Davide Hurwitz, Debra Mets, Berend F1000Res Opinion Article The management of a patient presenting with unsatisfactory labor epidural analgesia poses a severe challenge for the anesthetist wanting to provide safe anesthetic care for a cesarean delivery. Early recognition of unsatisfactory labor analgesia allows for replacement of the epidural catheter. The decision to convert labor epidural analgesia to anesthesia for cesarean delivery is based on the urgency of the cesarean delivery, airway examination, and the existence of a residual sensory and motor block.  We suggest an algorithm which is implemented in our department, based on the urgency of the cesarean delivery. F1000Research 2015-04-24 /pmc/articles/PMC4482209/ /pubmed/26167271 http://dx.doi.org/10.12688/f1000research.6381.1 Text en Copyright: © 2015 Vaida S et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/publicdomain/zero/1.0/ Data associated with the article are available under the terms of the Creative Commons Zero "No rights reserved" data waiver (CC0 1.0 Public domain dedication).
spellingShingle Opinion Article
Vaida, Sonia
Cattano, Davide
Hurwitz, Debra
Mets, Berend
Algorithm for the anesthetic management of cesarean delivery in patients with unsatisfactory labor epidural analgesia
title Algorithm for the anesthetic management of cesarean delivery in patients with unsatisfactory labor epidural analgesia
title_full Algorithm for the anesthetic management of cesarean delivery in patients with unsatisfactory labor epidural analgesia
title_fullStr Algorithm for the anesthetic management of cesarean delivery in patients with unsatisfactory labor epidural analgesia
title_full_unstemmed Algorithm for the anesthetic management of cesarean delivery in patients with unsatisfactory labor epidural analgesia
title_short Algorithm for the anesthetic management of cesarean delivery in patients with unsatisfactory labor epidural analgesia
title_sort algorithm for the anesthetic management of cesarean delivery in patients with unsatisfactory labor epidural analgesia
topic Opinion Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4482209/
https://www.ncbi.nlm.nih.gov/pubmed/26167271
http://dx.doi.org/10.12688/f1000research.6381.1
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