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      • Record: found
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      Is Open Access

      Anaesthetic Considerations in a Patient with Pycnodysostosis undergoing Caesarean Delivery

      case-report
      Author(s): , ,
      Publication date (Electronic):
      Journal: Case Reports in Anesthesiology
      Publisher: Hindawi

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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 57 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 48 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 28 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Niklas S. Hansen:
                ORCID: http://orcid.org/0000-0002-4500-8781
                Journal
                Journal ID (nlm-ta): Case Rep Anesthesiol
                Journal ID (iso-abbrev): Case Rep Anesthesiol
                Journal ID (publisher-id): CRIA
                Title: Case Reports in Anesthesiology
                Publisher: Hindawi
                ISSN (Print): 2090-6382
                ISSN (Electronic): 2090-6390
                Publication date Collection: 2018
                Publication date (Electronic): 13 November 2018
                Volume: 2018
                Electronic Location Identifier: 5675637
                Affiliations
                Department of Anesthesia, Hospital Unit Vest, Herning, Denmark
                Author notes

                Academic Editor: Latha Hebbar

                Author information
                http://orcid.org/0000-0002-4500-8781
                Article
                DOI: 10.1155/2018/5675637
                PMC ID: 6260546
                SO-VID: fad8e82e-25a5-440c-acfb-4da1b73012f3
                Copyright © Copyright © 2018 Niklas S. Hansen et al.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 19 July 2018
                Date accepted : 1 November 2018
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Anesthesiology & Pain management
                Data availability:
                ScienceOpen disciplines: Anesthesiology & Pain management

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