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Related Concept Videos

Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

396
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
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Endoscopic Studies II: Thoracocentesis01:26

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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Prevention of maternal hypothermia after scheduled cesarean delivery under spinal anesthesia with active warming of intravenous fluids: an exploratory double-blind randomized controlled trial (CESAR-RESOL2).

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External Cephalic Version: Is it an Effective and Safe Procedure?
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Cesarean delivery: Clinical updates.

Allison Lee1, Max Gonzalez Estevez2, Agnès Le Gouez3

  • 1Perelman School of Medicine, University of Pennsylvania, Department of Anesthesiology and Critical Care, 3400 Spruce St, Suite 680 Dulles, Philadelphia, PA, 19104, USA.

Best Practice & Research. Clinical Anaesthesiology
|January 7, 2025
PubMed
Summary
This summary is machine-generated.

This clinical update reviews anesthesia best practices for cesarean delivery, focusing on managing maternal hypotension and breakthrough pain. It details strategies for hemodynamic stability and optimizing general anesthesia, including airway management.

Keywords:
Airway: preoxygenationAnesthesia: spinalCesareanEpiduralGeneralHemodynamics: hypotensionIntubationVasopressors

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Area of Science:

  • Anesthesiology
  • Obstetric Anesthesia

Background:

  • Cesarean delivery is the most common major surgical procedure worldwide.
  • Anesthesia for cesarean delivery presents unique challenges for maternal and fetal well-being.

Purpose of the Study:

  • To provide a comprehensive clinical update on best practices for neuraxial and general anesthesia in cesarean delivery.
  • To discuss evidence-based strategies for common anesthetic challenges.

Main Methods:

  • Review of current evidence-based strategies for anesthetic management.
  • Detailed discussion of practical approaches for hemodynamic stability.
  • Exploration of new approaches in general anesthesia.

Main Results:

  • Effective strategies for managing maternal hypotension and intraoperative breakthrough pain are presented.
  • Optimized maternal hemodynamic stability through vasopressors, fluid management, and positioning is reviewed.
  • Emphasis on prolonged safe apnea time, rapid sequence induction, and difficult airway management in general anesthesia.

Conclusions:

  • Current best practices enhance safety and outcomes for cesarean delivery anesthesia.
  • Addressing anesthetic challenges proactively improves maternal care.
  • Advances in general anesthesia techniques offer improved safety profiles.