Anästhesiol Intensivmed Notfallmed Schmerzther 2006; 41(11): 700-702
DOI: 10.1055/s-2006-958840
Fachwissen: Anästhesiologie

© Georg Thieme Verlag Stuttgart · New York

Kasuistik interaktiv: Mehrlingsgeburt - Anästhesie bei Sectio caesarea

Case report: Delivery of a triplet gestation in a jehovahs witnessThomas Volk
Further Information

Publication History

Publication Date:
07 December 2006 (online)

Zusammenfassung

Drillingsschwangerschaften sind mit erhöhten maternalen Risiken verbunden und die Geburten erfolgen überwiegend mit einer geplanten Sectio. Anästhesiologische Besonderheiten bei der Durchführung regionaler Anästhesieverfahren werden anhand eines Falles bei einer Zeugin Jehovahs diskutiert.

Abstract

Triplet pregnancies are at an increased risk for perinatal complications. Cesarean delivery is the preferred choice in most cases. In the presented case of a jehovahs witness the special features of anaesthesiological managements are discussed.

Literaturverzeichnis

  • 1 Vintzileos AM, Ananth CV, Kontopoulos E, Smulian JC. Mode of delivery and risk of stillbirth and infant mortality in triplet gestations: United States, 1995 through 1998.  Am J Obstet Gynecol. 2005;  192 464-469
  • 2 Hawkins JL. Anesthesia-related maternal mortality.  Clin Obstet Gynecol. 2003;  46 679-687
  • 3 Bloom SL, Spong CY. et al. . National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Complications of anesthesia for cesarean delivery.  Obstet Gynecol. 2005;  106 281-287
  • 4 Ng K, Parsons J, Cyna AM, Middleton P. Spinal versus epidural anaesthesia for caesarean section. Cochrane Database Syst Rev 2004
  • 5 Marino T, Goudas LC, Steinbok V, Craigo SD, Yarnell RW. The anesthetic management of triplet cesarean delivery: a retrospective case series of maternal outcomes.  Anesth Analg. 2001;  93 991-995
  • 6 Reynolds F, Seed PT. Anaesthesia for Caesarean section and neonatal acid-base status: a meta-analysis.  Anaesthesia. 2005;  60 636-653
  • 7 Beilin Y. et al. . Quality of analgesia when air versus saline is used for identification of the epidural space in the parturient.  Reg Anesth Pain Med. 2000;  25 596-599
  • 8 Aida S, Taga K, Yamakura T, Endoh H, Shimoji K. Headache after attempted epidural block: the role of intrathecal air.  Anesthesiology. 1998;  88 76-81
  • 9 Emmett RS. et al. .Techniques for preventing hypotension during spinal anaesthesia for caesarean section. Cochrane Database Syst Rev 2002
  • 10 Congreve K. et al. . Where is T5? A survey of anaesthetists.  Anaesthesia. 2006;  61 453-455
  • 11 Yentis SM. Height of confusion: assessing regional blocks before caesarean section.  Int J Obstet Anesth. 2006;  15 2-6
  • 12 Turnbull DK, Shepherd DB. Post-dural puncture headache: pathogenesis, prevention and treatment.  Br J Anaesth. 2003;  91 718-729
  • 13 Scavone BM. et al. . Efficacy of a prophylactic epidural blood patch in preventing post dural puncture headache in parturients after inadvertent dural puncture.  Anesthesiology. 2004;  101 1422-1427
  • 14 Esmaoglu A. et al. . Oral multidose caffeine-paracetamol combination is not effective for the prophylaxis of postdural puncture headache.  J Clin Anesth. 2005;  17 58-61
  • 15 Camann WR. et al. . Effects of oral caffeine on postdural puncture headache. A double-blind, placebo-controlled trial.  Anesth Analg. 1990;  70 181-184
  • 16 Harrington BE. Postdural puncture headache and the development of the epidural blood patch.  Reg Anesth Pain Med. 2004;  29 136-63
  • 17 Jagannathan N, Tetzlaff JE. Epidural blood patch in a Jehovah's Witness patient with post-dural puncture cephalgia.  Can J Anesth. 2005;  52 113
  • 18 Hanss R, Bein B, Francksen H, Scherkl W, Bauer M, Doerges V, Steinfath M, Scholz J, Tonner PH. Heart rate variability-guided prophylactic treatment of severe hypotension after after subarachnoid block for elective cesarean delivery.  Anesthesiology. 2006;  104 635-643
  • 19 Hanss R. et al. . Heart rate variability predicts severe hypotension after spinal anesthesia for elective cesarean delivery.  Anesthesiology. 2005;  102 1086-1093
    >