WIN ANAESTHESIA

Postcesarean Delivery Analgesia Last updated: 09 /06/2024 Key Points Postcesarean delivery (CD) analgesia should ideally balance adequate pain relief with the risk of adverse side effects. Current recommendations include multimodal opioid-sparing analgesics, including neuraxial morphine with scheduled nonsteroidal anti-inflammatory drugs (NSAIDs) and acetaminophen, with the addition of supplemental opioids, only if needed. 1 Truncal nerve blocks are integral to enhanced recovery after cesarean (ERAC) protocols and should be implemented early in both CD performed under general anesthesia and rescue analgesia scenarios. Introduction The overall rate of CDs, both primary and repeat, has substantially increased over the last 30 years. It is now becoming one of the most commonly performed surgeries in the world. 2 Patients have long reported pain, both during and after surgery, as their number one concern in the course of their personal health plan. 3 Greater pain duration and overall p...

Hypertensive Disorders of Pregnancy Last updated: 09 /06/2024 Key Points Hypertensive disorders of pregnancy are a leading cause of maternal and perinatal morbidity and mortality. The pathophysiology of preeclampsia is hypothesized to be due to abnormal placentation and systemic vascular endothelial dysfunction. Maternal complications include cerebral vascular accident, pulmonary edema, placental abruption, renal failure, and HELLP syndrome. Neonatal complications include preterm delivery, fetal growth restriction, hypoxic-ischemic neurologic injury, and perinatal death. The risk for serious complications persists in the postpartum period. Introduction Hypertension is the most common medical disorder of pregnancy, and its incidence is increasing in the setting of advanced maternal age and obesity. 1 The range of conditions include chronic hypertension, gestational hypertension, preeclampsia (with or without severe features), preeclampsia superimposed on chronic hypertension, and ec...