Severe maternal bradycardia and asystole after combined spinal-epidural labor analgesia in a morbidly obese parturient
Journal of Clinical Anesthesia, ISSN: 0952-8180, Vol: 16, Issue: 6, Page: 461-464
2004
- 15Citations
- 19Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
Citation Benchmarking is provided by Scopus and SciVal and is different from the metrics context provided by PlumX Metrics.
Metrics Details
- Citations15
- Citation Indexes15
- 15
- CrossRef13
- Captures19
- Readers19
- 19
Article Description
Serious maternal bradycardia and asystole in laboring parturients after combined spinal-epidural labor analgesia are rare. We report such a case in a morbidly obese laboring parturient after receiving combined spinal-epidural labor analgesia. The differential diagnosis, risk factors, potential contributing factors, and the successful management of the complications with our positive patient outcome are discussed. Even with the low dose of neuraxial drugs commonly administered in combined spinal-epidural labor analgesia, this case underscores the importance of vigilance, frequent monitoring, proper positioning, and rapid resuscitation with escalating doses of ephedrine, atropine, and epinephrine, all of which are essential in the presence of bradycardia or asystole in these patients.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S095281800400131X; http://dx.doi.org/10.1016/j.jclinane.2003.10.006; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=9644287880&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/15567654; https://linkinghub.elsevier.com/retrieve/pii/S095281800400131X; https://dx.doi.org/10.1016/j.jclinane.2003.10.006
Elsevier BV
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