STH Consultant CPD Updates: Obstetrics

This is the summary of the PowerPoint presentation from the new consultant CPD teaching programme.

This month’s session provided an update on obstetric anaesthesia (for the non-obstetric anaesthetist) in line with the Royal College of Anaesthetists Matrix.

The following areas were covered by Dr Ian Wrench (Consultant Obstetric Anaesthetist, Sheffield Teaching Hospitals NHS Foundation Trust). Please click the link for a copy of the presentation. Obstetric Anaesthesia for Non-obstetric Anaesthetists

  • Assessment of the critically ill parturient (2B06)
  • Analgesia for labour (2B01)
  • Regional anaesthesia complications in the pregnant patient (2B04)
  • Regional & general anaesthesia for emergency & elective LSCS (2B02, 2B03)

Labour analgesia the VIP way…

Gambling D, Berkowitz J, Farrell TR et al. A Randomized Controlled Comparison of Epidural Analgesia and Combined Spinal-Epidural Analgesia in a Private Practice Setting: Pain Scores During First and Second Stages of Labor and at Delivery. Anesthesia & Analgesia 1013; 116: 636-643.

RHH Journal Club. June 6th, 2013. Dr Vinayak Kumar

No free full-text available

Does a CSE technique provide superior analgesia for the first two stages of labour compared to a standard lumbar epidural?

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Antacids for LSCS

Roberts RB, & Shirley MA. Reducing the risk of acid aspiration during cesarean section. Anesthesia & Analgesia 1974; 53: 859-868.

RHH Journal Club. June 6th, 2013. Dr Susan Yeung

Full-text article (if available)

This paper from 1974 highlights the increased risk of aspiration in pregnant women undergoing caesarean section (CS). This has led to a change in practice whereby all women prior to elective or emergency section are given antacid prophylaxis.

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A tale of IVC, CO & the magical 15 degrees…

Lees MM, Taylor SH, Scott D & Kerr MG. A study of cardiac output at rest throughout pregnancy. BJOG: An International Journal of Obstetrics & Gynaecology 1967; 74: 319-328.

RHH Journal Club. December 22nd, 2012. Dr Maneka Braganza

No free full-text available

To describe the overall pattern of change in cardiac output during pregnancy .

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