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      • Record: found
      • Abstract: found
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      Is Open Access

      Anaesthetic Considerations in a Patient with Pycnodysostosis undergoing Caesarean Delivery

      Author(s): 1 , 1 , 1
      Publication date Created:
      Publication date (Print):
      Journal: Case Reports in Anesthesiology
      Publisher: Hindawi Limited

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          Abstract

          Pycnodysostosis is a rare congenital disorder with several implications, which might complicate anesthesia. Patients are more prone to fractures and have an anticipated difficult airway. We report a case of a 34-year-old woman with pycnodysostosis who underwent elective caesarean delivery under epidural blockade.

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          Lumbar Neuraxial Ultrasound for Spinal and Epidural Anesthesia: A Systematic Review and Meta-Analysis.

          Anahi Perlas, Luis Chaparro, Ki Chin (2014)
          This systematic review examines the evidence for preprocedural neuraxial ultrasound as an adjunct to lumbar spinal and epidural anesthesia in adults.
          Article 0 comments Cited 58 times – based on 0 reviews     Review now
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            Anesthesia-related maternal mortality in the United States: 1979-2002.

            W Callaghan, James Gibbs, Kevin Hawkins … (2010)
            To examine 12 years of anesthesia-related maternal deaths from 1991 to 2002 and compare them with data from 1979 to 1990, to estimate trends in anesthesia-related maternal mortality over time, and to compare the risks of general and regional anesthesia during cesarean delivery. The authors reviewed anesthesia-related maternal deaths that occurred from 1991 to 2002. Type of anesthesia involved, mode of delivery, and cause of death were determined. Pregnancy-related mortality ratios, defined as pregnancy-related deaths due to anesthesia per million live births were calculated. Case fatality rates were estimated by applying a national estimate of the proportion of regional and general anesthetics to the national cesarean delivery rate. Eighty-six pregnancy-related deaths were associated with complications of anesthesia, or 1.6% of total pregnancy-related deaths. Pregnancy-related mortality ratios for deaths related to anesthesia is 1.2 per million live births for 1991-2002, a decrease of 59% from 1979-1990. Deaths mostly occurred among younger women, but the percentage of deaths among women aged 35-39 years increased substantially. Delivery method could not be determined in 14%, but the remaining 86% were undergoing cesarean delivery. Case-fatality rates for general anesthesia were 16.8 per million in 1991-1996 and 6.5 per million in 1997-2002, and for regional anesthesia were 2.5 and 3.8 per million, respectively. The resulting risk ratio between the two techniques for 1997-2002 was 1.7 (confidence interval 0.6-4.6, P=.2). Anesthetic-related maternal mortality decreased nearly 60% when data from 1979-1990 were compared with data from 1991-2002. Although case-fatality rates for general anesthesia are falling, rates for regional anesthesia are rising. II.
            Article 0 comments Cited 49 times – based on 0 reviews     Review now
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              A series of anesthesia-related maternal deaths in Michigan, 1985-2003.

              Jill Mhyre, Monica Riesner, Linda S Polley … (2007)
              Maternal Mortality Surveillance has been conducted by the State of Michigan since 1950, and anesthesia-related maternal deaths were most recently reviewed for the years 1972-1984.
              Article 0 comments Cited 29 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Title: Case Reports in Anesthesiology
                Abbreviated Title: Case Reports in Anesthesiology
                Publisher: Hindawi Limited
                ISSN (Print): 2090-6382
                ISSN (Electronic): 2090-6390
                Publication date Created: November 13 2018
                Publication date (Print): November 13 2018
                Volume: 2018
                Pages: 1-3
                Affiliations
                [1 ]Department of Anesthesia, Hospital Unit Vest, Herning, Denmark
                Article
                DOI: 10.1155/2018/5675637
                SO-VID: fad8e82e-25a5-440c-acfb-4da1b73012f3
                Copyright © © 2018
                License:

                http://creativecommons.org/licenses/by/4.0/

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