International ‘8KE$ Anesthesia 1
VOLUME
CONTENTS EDITORIAL Aspirin and epidurals: the anaesthetist’s dilemma J. Paul1
1
REVIEW ARTICLES The place of low-dose aspirin iu pregnancy C. Nelson-Piercy. M. De Swiet
3
Obstetric anesthesia risk: a review of recent literature B. Glosten
7
ORIGINAL ARTICLES A survey of coagulation screening practices in preeclampsia and low-dose aspirin prophylaxis T. G. Bushnell
13
Haemodynamic changes during epidural caesarean delivery E. Wennberg. I. Frid
16
Prevention of hypotension during spinal anaesthesia for caesarean section K. S. Olsen, V. L. Feilberg, C. L. Hansen, 0. Rudkjobing, T Pedersen, A. Kyst
20
A comparison of spinal and general anaesthesia for elective caesarean section: effect on neonatal condition at biih C. A. Hodgson. T. D. Wauchob
25
The effect of position on sacral spread of epidural analgesia R. Gr@n, M. Barklamb, F Reynolds
31
Acute tissue damage following epidural cammlation A. Holdcroft. G. Samsoon, R. A. Fernando, C. Baudoin
35
The use of a paraspinal field block before epidural analgesia for labor S. H. Halpern, C. Huh, D. Djotdjevic
39
CASE REPORTS Severe bronchospasm and hypotension after K-methyl prostaglandin FZain atonic post partum haemorrhage A. M. O’Leary
42
A case of hyperemesis gravidarmn treated with artificial nutritional support R. O’Connor, A. J. Quinn
45
CONTROVERSIES Randomized controlled trials of epidural versus systemic analgesia in labour are essential Proposer: H. J. McQuay, Opposer: R. Russell
48
A dural puncture rate of 1% is unacceptable in epidural practice Proposer: R. Macdonald, Opposer: A. Holdcroft
50
There is no place for adrenaline in the epidural or subarachnoid space Proposer: J. K. Moore, Opposer: S. Hughes
54
Correspondence
59
Abstracts of the free papers presented at the Obstetric Anaesthetists’ Association in London on 24 and 25 September 1993 will be published in the next issue. ORIGINAL ARTICLES Maternal electrocardiographic changes in the peripartum period C. M. Palmer
63
Pain and pain relief in labour: parturlents’ experiences T. Kangas-Saarela, K. Kangas-Kiirki
67
Combined spinal epidural (CSE) analgesia: technique, management, and outcome of 300 mothers R. E. Collis, M. L. Baxandall, I. D. Srikantharajah, G. Edge, M. Y. Kadin, B. M. Morgan
75
The morphine sparing effect of diclofenac sodium following caesarean section under spinal anaesthesia J. Luthman, N. H. Kay, J. B. White
82
Low dose intrathecal morphine and pain relief following caesarean section A. Uchiyama, H. Ueyama, S. Nakano, M. Nishimura, C. Tashiro
87
CASE REPORTS Continuous arteriovenous hemotihration in the treatment of amniotic fluid embolism N. Weksler, L. Ovadia, A. Stav, M. Iuchtman, L. Ribac
92
Pregnancy and cirrhosis: management of hematemesis by Warren shunt during third trimester gestation J. Duke
97
Awake fibre optic intubation in a 38-week pregnant patient with submandibular abscess S. S. Fayek, P. A. Isaac, J. Shah
103
ABSTRACTS Free papers presented at the Obstetric Anaesthetists’ Association meeting in London, 24 and 25 September 1993
106
Correspondence
120
Forthcoming meetings
124
EDITORIAL Maternal mortality 125
T. A. Thomas
ORIGINAL ARTICLES The incidence of herpes simplex virus labialis after cesarean delivery M. C. Norris, J. Weiss, M. Carney, B. L. Leighton
127
The association between foot temperature and asymmetrical epidural blockade 132
R P. Grl@n, F. Reynolds
Acid aspiration prophylaxis in 202 obstetric anaesthetic units in the UK J. M. C. Griefi S. G. Tordofi R. Gr@hs,
A. E. May
137
A survey of airway management during induction of general anaesthesia in obstetrics: are the recommendations in the Confidential Enquiries into Maternal Deaths being implemented? T. M. Cook, A. McCrirrick
143
A system for audit of obstetric anaesthesia S. S. Gilbert, A. E. Cameron
146
REVIEW ARTICLE Improving epidural anesthesia during cesarean section: causes of maternal discomfort or pain during surgery G. Capogna, D. Celleno
149
CASE REPORTS Spinal anaesthesia for caesarean section following analgesia in labour: a relative contraindication A. Gupta, G. Enlund, M. Bengtsson, F Sjoberg
153
Anesthetic management of a parturient with mixed mitral valve disease and uncontrolled
artial fibrillation S. K. Sharma, D. R Gambling, N. M. Gajraj, C. Truong, E. J. Sidawi
157
An unusual case of sudden desaturation following induction of anaesthesia for caesarean
section A. K. McZndoe
163
SHORT REPORT Comparison of three spinal needles for elective caesarean section A. J. Coe, B. Guratsky, G. Edwards, C. Devlin, C. Breeze, G. Perring
165
DEBATE Epidural blood patch is contraindicated in HIV-positive patients? Proposer: P. Newman, D. Carrington, J. Clarke Opposer: H. M. Shapiro
167
ABSTRACTS Free papers presented at the Obstetric Anaesthetists’ Association meeting in Derby, 29 April 1994
170
OBITUARY Sol M. Shnider MB, 1929-1994 Correspondence Forthcoming meetings ORIGINAL ARTICLES Uteroplacental haemodynamlcs during spinal anaesthesia for caesarean section with two types of uterlne displacement S. Alahuhta, J. Karinen, R Lumme, R Jouppila, A. I. Hollmen, P. Jouppila
187
Parturients’ assessment of water blocks, pethidine, nitrous oxide, paracervical and epidural blocks in labour P. Ranta, P. Jouppila, M. Spalding, T Kangas-Saarela, A. Hollmen, R. Jouppila
193
Effect of preoperative skin infiltration with 0.5% bupivacaine on postoperative pain following cesarean section under spinal anesthesia T. J. G. Pavy, D. R. Gambling, A. P. Kltfer. A. Munro, P. M. Merrick, M. J. Douglas
199
Pain relief after caesarean section: comparison of different techniques of morphine administration C. Sibilla, P. Albertazzi. R Zatelli, G. Lupi. M. Marchi. C. Campobasso, A. Farina, R. Martinello
203
Epidural lldocaine versus 2-chloroprocaine for fetal distress requiring urgent cesarean section R. R. Gaiser, T G. Cheek, B. B. Gutsche
208
REVIEW ARTICLES The laryngeal mask airway for obstetric anaesthesia and neonatal resuscitation J. Brimacombe, A. Berry
211
What’s new in obstetric anesthesia, 1993? K A. Arkoosh
219
CASE REPORTS Unusual early presentation of puerperal cerebral venous thrombosis S. Mallaiah, C. H. Tailby
227
Abruptio placentae and disseminated intravascular coagulation: use of thrombelastography and sonoclot analysis P. L. Steer, B. E. Finley, L. A. Blumenthal
Acute colonic pseudo-obstruction after caesarean section M. A. S. Dickson, J. H. McClure
229 234
Acknowledgements
237 238
Book reviews
239
Correspondence
Forthcoming meetings
241
Author index
243
Subject index
245