International journal of obstetric anesthesia最新文献

英文中文

Intraoperative pain during cesarean delivery: reflections and next steps 剖宫产术中疼痛：反思与下一步

IF 2.3 3区医学 Q2 ANESTHESIOLOGY

International journal of obstetric anesthesia

Pub Date : 2026-02-01 Epub Date: 2025-12-05 DOI: 10.1016/j.ijoa.2025.104828

Pervez Sultan , Brendan Carvalho , Ruth Landau

引用次数: 0

Reframing obstetric anesthesia workforce surveys for regional and global impact. 重塑产科麻醉劳动力调查的区域和全球影响。

IF 2.3 3区医学 Q2 ANESTHESIOLOGY

International journal of obstetric anesthesia

Pub Date : 2026-02-01 Epub Date: 2025-12-08 DOI: 10.1016/j.ijoa.2025.104831

Anjan K Saha, Ronald B George

引用次数: 0

Corrigendum to "Effect of prophylactic intravenous calcium gluconate on uterine atony during intrapartum cesarean delivery with spinal anesthesia: a placebo controlled, randomized clinical trial". [Int. J. Obst. Anesth. 63 (2025) 104704]. 《脊髓麻醉剖宫产术中预防性静脉注射葡萄糖酸钙对子宫张力的影响：一项安慰剂对照的随机临床试验》的更正。[Int。j .水果。农业学报，63 (2025)104704 [j]。

IF 2.3 3区医学 Q2 ANESTHESIOLOGY

International journal of obstetric anesthesia

Pub Date : 2026-02-01 Epub Date: 2025-11-24 DOI: 10.1016/j.ijoa.2025.104821

T L Abirami, P Rudingwa, A K Jha, A Kuberan, N S Kubera, S Ramachandran, B Ravichandrane

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In response to: "Obstetric anaesthesia in Japan-beyond provider identity to system design". 回应：“日本的产科麻醉——从提供者身份到系统设计”。

IF 2.3 3区医学 Q2 ANESTHESIOLOGY

International journal of obstetric anesthesia

Pub Date : 2025-12-27 DOI: 10.1016/j.ijoa.2025.104841

A Maeda, W Camann

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Letter to the Editor: Obstetric anaesthesia in Japan - beyond provider identity to system design. 致编辑的信：日本的产科麻醉-超越提供者身份到系统设计。

IF 2.3 3区医学 Q2 ANESTHESIOLOGY

International journal of obstetric anesthesia

Pub Date : 2025-12-14 DOI: 10.1016/j.ijoa.2025.104837

Kentaro Iga

引用次数: 0

Caesarean delivery management in a patient with sickle cell disease and severe delayed haemolytic transfusion reaction and hyperhaemolysis: a case report. 镰状细胞病合并严重迟发性溶血输血反应和高溶血患者的剖宫产管理：1例报告。

IF 2.3 3区医学 Q2 ANESTHESIOLOGY

International journal of obstetric anesthesia

Pub Date : 2025-12-10 DOI: 10.1016/j.ijoa.2025.104834

H Catton, V Prabhu, A Kale

引用次数: 0

Characterizing patterns of sensory loss during labor epidural analgesia: a prospective study of breakthrough pain 分娩时硬膜外镇痛过程中感觉丧失的特征：突破性疼痛的前瞻性研究

IF 2.3 3区医学 Q2 ANESTHESIOLOGY

International journal of obstetric anesthesia

Pub Date : 2025-11-01 Epub Date: 2025-08-12 DOI: 10.1016/j.ijoa.2025.104753

L Kordich , JP Ghiringhelli , RB George , K Downey , XY Ye , JCA Carvalho

Background

Two distinct levels of sensory loss can be detected while assessing the cephalad spread of epidural analgesia during labor: the level of complete sensory loss (cephalad dermatome with complete sensory loss to a testing stimulus) and the level of partial sensory loss (cephalad dermatome of partial sensation to the same stimulus). This study sought to determine the levels of complete and partial sensory loss in patients experiencing breakthrough pain and how they change after re-establishment of analgesia.

Methods

We conducted an exploratory prospective cohort study to compare the levels of complete and partial sensory loss, to both ice and pinprick, at a time when patients experienced breakthrough pain and after effective analgesia was re-established.

Results

We enrolled 30 patients. The median [interquartile range] level of complete sensory loss to ice increased from T12 [L1–T10] while in pain to T10 [T11–T9] after analgesia was re-established. The median level of complete sensory loss to pinprick increased from T12 [L2–T11] while in pain to T11 [T12–T10] after analgesia was re-established. The median level of partial sensory loss to ice and pinprick was above T10 both before and after top-up.

Conclusion

Patients experiencing breakthrough pain had a level of complete sensory loss to ice and pinprick below T10. After re-establishment of analgesia, the level of complete sensory loss to ice increased to T10 or above suggesting the level of complete sensory loss to ice may be the preferred mode of assessment of labor epidural analgesia to ensure optimal analgesia. Study registration: www.clinicaltrials.gov (NCT05881395); registered 31st May 2023.

背景：在评估分娩过程中硬膜外镇痛的头侧扩散时，可以检测到两种不同程度的感觉丧失：完全感觉丧失水平（对测试刺激完全感觉丧失的头侧皮肤区）和部分感觉丧失水平（对相同刺激部分感觉的头侧皮肤区）。本研究旨在确定突破性疼痛患者的完全和部分感觉丧失水平，以及它们在重新建立镇痛后如何变化。方法我们进行了一项探索性前瞻性队列研究，比较在患者经历突破性疼痛和重新建立有效镇痛后，冰敷和针刺时完全和部分感觉丧失的水平。结果共入组30例患者。冰致完全感觉丧失的中位[四分位数范围]水平从疼痛时的T12 [L1-T10]增加到重新镇痛后的T10 [T11-T9]。针刺时完全感觉丧失的中位水平从疼痛时的T12 [L2-T11]增加到重新镇痛后的T11 [T12 - t10]。充值前后冰和针刺部分感觉丧失的中位数均在T10以上。结论突破性疼痛患者T10以下为冰刺完全感觉丧失水平。重建镇痛后，对冰的完全感觉丧失等级升至T10以上，提示对冰的完全感觉丧失等级可能是分娩硬膜外镇痛的首选评估模式，以确保最佳的镇痛效果。研究注册：www.clinicaltrials.gov (NCT05881395)；注册于2023年5月31日。

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引用次数: 0

Raising the bar: the next chapter in enhanced recovery after cesarean delivery 提高标准：提高剖宫产后恢复的下一个篇章

IF 2.3 3区医学 Q2 ANESTHESIOLOGY

International journal of obstetric anesthesia

Pub Date : 2025-11-01 Epub Date: 2025-08-08 DOI: 10.1016/j.ijoa.2025.104745

P. Sultan , L. Bollag , B. Carvalho , G. Nelson

引用次数: 0

Rethinking anesthetic management of patients with indwelling labor epidural catheters who have unscheduled intrapartum cesarean deliveries: a response to “The Retrievals, Season 2” 对难产剖宫产患者硬膜外留置导尿管麻醉管理的再思考：对《The retrials， Season 2》的回应

IF 2.3 3区医学 Q2 ANESTHESIOLOGY

International journal of obstetric anesthesia

Pub Date : 2025-11-01 Epub Date: 2025-08-19 DOI: 10.1016/j.ijoa.2025.104757

M.P. Hofkamp , E.E. Sharpe

引用次数: 0

Development and validation of a multivariable model for predicting prolonged length of stay following caesarean delivery 预测剖宫产后住院时间延长的多变量模型的建立和验证

IF 2.3 3区医学 Q2 ANESTHESIOLOGY

International journal of obstetric anesthesia

Pub Date : 2025-11-01 Epub Date: 2025-07-13 DOI: 10.1016/j.ijoa.2025.104725

J.E. O’Carroll , L. Zucco , E. Warwick , G. Radcliffe , S.R. Moonesinghe , L. Tian , B. Cai , K. El-Boghdadly , N. Guo , B. Carvalho , P. Sultan , on behalf of the ObsQoR Collaborators

Background

Postpartum length of stay is an important metric of recovery following delivery. Predicting prolonged hospital stay could be useful for postpartum care, facilitate patient counselling, allow targeted interventions for modifiable risk factors and support management of maternal bed capacity. Our aim was to develop and internally validate a predictive model for prolonged length of postpartum stay (≥90^th percentile) following caesarean delivery (CD), with the secondary aim to elucidate factors influencing postpartum length of stay.

Methods

Following ethics approval in 107 centres in the UK, we conducted a prospective, multicentre study. Eligible patients were enrolled and baseline demographic, anaesthetic, obstetric and medical data were collected on day 1 postpartum and followed by telephone between day 28 and 32 postpartum, with data on length of stay, patient reported outcome measures, recovery, complications and readmission to hospital.

Results

Data from 1164 patients who underwent CD were included. A total of 119 patients had a prolonged (≥90^th centile) length of stay (≥102 hours). The receiver operator characteristic curve for a prolonged length of stay under a lasso regularised logistic regression model had an area under the curve of 0.7808, with Obstetric Quality of Recovery (ObsQoR) score, neonatal intensive care admission, gestational age and urgency of CD the most important variables.

Conclusion

Using prospectively collected data from a large and diverse national cohort, we developed and validated a model to predict prolonged length of stay following CD in the UK. Further studies are required to determine if targeted interventions can help reduce prolonged length of stay.

产后住院时间是衡量产后恢复的重要指标。预测住院时间延长可能有助于产后护理，促进患者咨询，允许针对可改变的风险因素采取有针对性的干预措施，并支持管理产妇病床容量。我们的目的是建立并内部验证一个预测剖宫产（CD）后延长产后住院时间（≥90百分位）的模型，第二个目的是阐明影响产后住院时间的因素。方法：在英国107个中心的伦理批准后，我们进行了一项前瞻性的多中心研究。纳入了符合条件的患者，并在产后第1天收集了基线人口统计学、麻醉、产科和医疗数据，并在产后28至32天之间进行了电话随访，收集了住院时间、患者报告的结果测量、康复、并发症和再入院的数据。结果纳入了1164例CD患者的数据。共有119例患者延长（≥90百分位）住院时间（≥102小时）。套索正则化logistic回归模型下延长住院时间的接受者特征曲线的曲线下面积为0.7808，产科康复质量（ObsQoR）评分、新生儿重症监护入院、胎龄和CD急迫性是最重要的变量。通过前瞻性地收集来自大量不同国家队列的数据，我们开发并验证了一个模型来预测英国CD患者的住院时间。需要进一步的研究来确定有针对性的干预措施是否有助于缩短住院时间。

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