Repeated Simulation-based Training for Performing General Anesthesia for Emergency Cesarean Delivery

2015 ◽  
Vol 35 (4) ◽  
pp. 224-225
Author(s):  
C.M. Ortner ◽  
P. Richebé ◽  
L.A. Bollag ◽  
B.K. Ross ◽  
R. Landau
Keyword(s):  
General Anesthesia ◽  
Cesarean Delivery ◽  
Emergency Cesarean ◽  
Simulation Based

scholarly journals Formulating an anesthetic plan using a list of high-risk pregnant women on cloud-based business communication tools: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Junnosuke Kimura ◽  
Kento Kawamura ◽  
Manami Minoura ◽  
Ayako Hiramoto ◽  
Yoshifumi Suga ◽  
...  
Keyword(s):  
Case Report ◽  
High Risk ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Business Communication ◽  
Communication Tools ◽  
Case Presentation ◽  
Emergency Cesarean

Abstract Background We report a case in which a list of high-risk pregnant women on cloud-based business communication tools was useful in formulating an anesthetic plan for unscheduled cesarean section. Case presentation A 37-year-old woman, who had been prescribed icosapentate for hypertriglyceridemia, received an antenatal anesthetic evaluation for possible cesarean delivery, and it was agreed that the anesthetic method for emergency cesarean section was general anesthesia if the surgery would take place within 7 days after the discontinuation of the drug, and regional anesthesia if it would take place any time later. Then this agreement was uploaded on the cloud-based business communication tools, and updated until she delivered her baby via unscheduled cesarean section. Conclusions A cloud-based business communication tools was useful in formulating an anesthesia plan for a patient undergoing a cesarean delivery. However, more discussion would be needed to utilize it in security.

scholarly journals Emergency Cesarean Delivery in a Guillain- Barre Syndrome Patient

2016 ◽  
Vol 27 (1) ◽  
pp. 39-42
Author(s):  
Md Abdur Rahman ◽  
Md Mozaffer Hossain ◽  
Subrata Kumar Mondal ◽  
Atiqul Islam ◽  
Mohiuddin Shoman ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
General Anesthesia ◽  
Cesarean Delivery ◽  
Ventilatory Support ◽  
Guillain Barre Syndrome ◽  
Syndrome Patient ◽  
Emergency Cesarean ◽  
Guillain Barré Syndrome ◽  
Guillain Barré

Guillain-Barré syndrome is an acute inflammatory demyelinating polyradiculopathy characterized by progressive motor weaknes, areflexia, and ascending paralysis. Guillain-Barré syndrome is extremely rare in pregnant patients, and there are no established guidelines for delivery or safest anesthetic methods. We report an emergency Cesarean delivery in the case of a 25-year old woman who was diagnosed as Guillain-Barré syndrome at her 26 weeks gestation. Tracheostomy was performed as prolonged ventilatory support was required in the intensive care unit. The respiratory difficulty was exacerbated by the growth of the fetus, necessitating emergency Cesarean delivery. The delivery was successfully performed under general anesthesia, and the patient recovered without neurological sequelae.Journal of Bangladesh Society of Anaesthesiologists 2014; 27(1): 39-42

Development of an Objective Scoring System for Measurement of Resident Performance on the Human Patient Simulator

2006 ◽  
Vol 105 (2) ◽  
pp. 260-266 ◽  
Author(s):  
Barbara M. Scavone ◽  
Michele T. Sproviero ◽  
Robert J. McCarthy ◽  
Cynthia A. Wong ◽  
John T. Sullivan ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Cesarean Delivery ◽  
Scoring System ◽  
Simulator Training ◽  
First Year ◽  
Human Patient ◽  
Patient Simulator ◽  
Resident Performance ◽  
Emergency Cesarean ◽  
Human Patient Simulator

Background The decrease in the percentage of patients having cesarean delivery during general anesthesia has led some educators to advocate the increased use of simulation-based training for this anesthetic. The authors developed a scoring system to measure resident performance of this anesthetic on the human patient simulator and subjected the system to tests of validity and reliability. Methods A modified Delphi technique was used to achieve a consensus among several experts regarding a standardized scoring system for evaluating resident performance of general anesthesia for emergency cesarean delivery on the human patient simulator. Eight third-year and eight first-year anesthesiology residents performed the scenario and were videotaped and scored by four attending obstetric anesthesiologists. Results Third-year residents scored an average of 150.5 points, whereas first-year residents scored an average of 128 points (P = 0.004). The scoring instrument demonstrated high interrater reliability with an intraclass correlation coefficient of 0.97 (95% confidence interval, 0.94-0.99) compared with the average score. Conclusions The developed scoring tool to measure resident performance of general anesthesia for emergency cesarean delivery on the patient simulator seems both valid and reliable in the context in which it was tested. This scoring system may prove useful for future studies such as those investigating the effect of simulator training on objective assessment of resident performance.

scholarly journals Anesthesia practice in cesarean delivery in tertiary care hospital: a retrospective observational study

2018 ◽  
Vol 1 (1) ◽  
pp. 13-15
Author(s):  
Rohini Sigdel ◽  
Maya Lama ◽  
Sanish Gurung ◽  
Sushil Timilsina
Keyword(s):  
Cesarean Section ◽  
General Anesthesia ◽  
Spinal Anesthesia ◽  
Cesarean Delivery ◽  
Tertiary Care ◽  
Regional Hospital ◽  
Elective Cesarean Section ◽  
Delivery Mode ◽  
Emergency Cesarean ◽  
Elective Cesarean

Background: Regional anesthesia is being utilized as the preferred anesthetic technique for cesarean delivery worldwide. This study was performed to review cesarean delivery anesthetic practice in our institute which represents a tertiary care regional hospital. Methods: Data was collected regarding the number of cesarean delivery performed during the period of six months from January 2017 to June 2017 at Western Regional Hospital. Number of elective versus emergency cesarean delivery, mode of anesthesia and the reason for general anesthesia and complications was recorded. Results: The number of cesarean delivery was found to be 1174(26.41%) of total deliveries during the study period. Out of which, 64.82% were for emergency indication and 35.18% were elective cesarean delivery. Spinal anesthesia was utilized in 99.03% of elective cesarean section and 97.63% of emergency cesarean section. The percentage of cases performed under general anesthesia was 1.87%. Reasons for general anesthesia included inadequate subarachnoid block, fetal malpresentation, eclampsia and maternal comorbidities. Complications related to general anesthesia like failed intubation, airway difficulty related to general anesthesia and anesthesia related mortality was not encountered. Conclusion: Spinal anesthesia is utilized widely and safely in obstetric practice at our hospital. Use of labour epidural analgesia should be introduced and encouraged in our setting to minimize the side effects of single shot spinal anesthesia and to avoid general anesthesia when indicated.

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