Abstract
Obstetric anaesthesia encompasses general anaesthesia, intrathecal analgesia and anaesthesia, and epidural analgesia and anaesthesia. J Selwyn Crawford, reviewing 27,000 obstetric epidurals, chose to classify complications according to severity, acknowledging life threatening, serious and minor complications [1], This form of classification will be used for this review. Sources of information range from reports of maternal mortality, through large follow up studies of complications to single case reports. Comprehensive coverage is not possible and this review will focus on issues that are both relevant and topical.
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References
Crawford JS (1985) Some maternal complications of epidural analgesia for labour. Anaesthesia 40:1219–1225
Report on Confidential Enquiries into Maternal Deaths in England and Wales 1973–75 (1979), 1976–78 (1982), 1979–81 (1986), 1982–84 (1989). Her Majesty’s Stationery Office, London
Report on Confidential Enquiries into Maternal Deaths in the United Kingdom 1985–7 (1991), 1988–90 (1994), 1991–93 (1996). Her Majesty’s Stationery Office, London
Hawthorne L, Wilson R, Lyons G et al (1996) Failed intubation revisited: 17 year experience in a teaching maternity unit. Br J Anaesth 76:680–684
Lyons G, Macdonald R (1991) Awareness during caesarean section. Anaesthesia 46:62–64
Schreiner EJ, Lipson SF, Bromage PR et al (1983) Neurological complications following general anaesthesia. Anaesthesia 38:226–229
Gamlin FMC, Lyons G (1997) Spinal analgesia in labour. Int J Obstet Anesth 6:161–172
Bromage PR (1997) Neurological complications of subarachnoid and epidural anaesthesia. Acta Anaesthesiol Scand 41:439–444
Rout CC, Rocke DA, Levin J et al (1993) A re-evaluation of the role of crystalloid preload in the prevention of hypotension associated with spinal anesthesia for elective caesarean section. Anesthesiology 79:262–269
Robson SC, Boys RJ, Rodeck C et al (1992) Maternal and fetal haemodynamic effects of spinal and extradural anaesthesia for elective caesarean section. Br J Anaesth 68:54–59
Hodgson CA, Wauchob TD (1994) A comparison of spinal and general anaesthesia for elective caesarean section: effect on neonatal condition at birth. Int J Obstet Anesth 3:25–30
Critchley M, MacDonald, AD, Ferguson FR et al (1937) Discussion on the neurological sequelae of spinal anaesthesia. Proc R Soc Med XXX: 1007–1032
Schneider M, Ettlin T, Kaufman M et al (1993) Transient neurological toxicity after hyperbaric subarachnoid anesthesia with 5% lidocaine. Anesth Analg 76:1154–1157
Drasner K, Rigler ML, Sessler DI et al (1992) Cauda equina syndrome following intended epidural anesthesia. Anesthesiology 77:582–585
Harding SA, Collis RE, Morgan BM (1994) Meningitis after combined spinal-extradural anaesthesia in obstetrics. Br J Anaesth 73:545–547
Burke D, Wildsmith JAW (1997) Meningitis after spinal anaesthesia. Br J Anaesth 78: 635–636
Hughes NJ, Lyons JB (1995) Prolonged myoclonus and meningism following propofol. Can J Anaesth 42:744–746
Lagasse RF, Marx G (1997) Lessons learned from the bupivacaine experience. Int J Obstet Anesth 6:217–219
Scott DB, Tunstall ME (1995) Serious complications associated with epidural/spinal blockage in obstetrics: a two year prospective study. Int J Obstet Anesth 4:133–139
Hawthorne L, Lyons G (1997) Cardiac arrest complicating spinal anaesthesia for caesarean section. Int J Obstet Anesth 6:126–129
Scott DB, Hibbard BM (1990) Serious non-fatal complications associated with extradural block in obstetric practice. Br J Anaesth 64:537–541
Sprotte G, Schedel R, Pajunk H et al (1987) Eine ataumatische Universalkanule fur einzeitige Regionalanaesthesien. Regional-Anaesthesie 10:104–108
Snyder GE, Person DL, Flor CE et al (1989) Headache in obstetrical patients; comparison of Whitacre needle versus Quincke needle. Anesthesiology 71:3A;860
Fritz T, Crews J, Mathieu A (1994) Relative effectiveness of three spinal needles in minimising postdural puncture (PDPH) and other outcomes. A meta-analysis. Anesthesiology 81: 3A;1216
Russell IF (1997) Postpartum neurological problems. In: Russell IF, Lyons G (eds) Clinical problems in obstetric anaesthesia. Chapman and Hall, London, pp 149–160
Sklar EML, Quencer RM, Green BA et al (1991) Complications of epidural anesthesia: MR appearance of abnormalities. Radiology 81:549–554
Holdcroft A, Gibberd FB, Hargrove RL et al (1995) Neurological complications associated with pregnancy. Br J Anaesth 75:522–526
Russell R, Dundas R, Reynolds F (1996) Long term backache after childbirth: prospective search for causative factors. Br Med J 312:1384–1388
Thorp JA, Albin RM, McNitt J et al (1993) The effect of intrapartum epidural analgesia on nulliparous labor: A randomised, controlled, prospective trial. Am J Obstet Gynecol 169: 851–858
Donaldson JO (1988) Neurology of pregnancy. WB Saunders, London
Chadwick HS, Posner K, Caplan RA et al (1991) A comparison of obstetric and nonobstetric anesthesia malpractice claims. Anesthesiology 74:242–249
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Lyons, G. (1999). Complications of Obstetric Anaesthesia. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2145-7_32
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DOI: https://doi.org/10.1007/978-88-470-2145-7_32
Publisher Name: Springer, Milano
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