scholarly journals Non-invasive haemoglobin measurement in patients undergoing elective Caesarean section

2012 ◽  
Vol 108 (2) ◽  
pp. 271-277 ◽  
Author(s):  
A. Butwick ◽  
G. Hilton ◽  
B. Carvalho
Keyword(s):  
Caesarean Section ◽  
Elective Caesarean Section ◽  
Non Invasive ◽  
Haemoglobin Measurement

Preoperative perfusion index as a predictor of post-anaesthetic shivering in caesarean section with spinal anaesthesia

2021 ◽  
pp. 175045892097926
Author(s):  
Mukri P Nasution ◽  
Mariza Fitriati ◽  
Anna S Veterini ◽  
Prihatma Kriswidyatomo ◽  
Arie Utariani
Keyword(s):  
Blood Flow ◽  
Caesarean Section ◽  
Spinal Anaesthesia ◽  
Peripheral Blood ◽  
Elective Caesarean Section ◽  
Perfusion Index ◽  
Peripheral Blood Flow ◽  
Non Invasive ◽  
Flow Perfusion ◽  
Invasive Method

Background Post-anaesthetic shivering is frequently preceded by a decrease in peripheral blood flow. Perfusion index is a fast non-invasive method to assess peripheral blood flow, thus might be correlated with post-anaesthetic shivering. Aim To analyse the relationship between preoperative perfusion index and post-anaesthetic shivering in patients undergoing caesarean section with spinal anaesthesia. Methods In this prospective observational study, preoperative perfusion index measurements were performed on 40 participants who were undergoing elective caesarean section under spinal anaesthesia. Spinal anaesthesia was performed using Lidodex (Lignocaine + Dextrose 5%) at vertebrae L4–L5 or L3–L4 interspace. Shivering was observed until 120 minutes according to the Crossley and Mahajan scale. Statistical analysis was performed to examine the correlation and cut-off of preoperative perfusion index as a predictor for post-anaesthetic shivering. Result There was a significant relationship between preoperative perfusion index with the incidence ( p = 0.005) and the degree ( p = 0.014) of post-anaesthetic shivering. The preoperative perfusion index cut-off value based on the ROC curve was 4.2 (AUC = 0.762, p = 0.002) with a sensitivity of 73.9% and specificity of 88.2%. Participants with preoperative PI < 4.2 had a greater risk of post-anaesthetic shivering ( p < 0.001, RR = 3.13). Conclusion Preoperative perfusion index less than 4.2 can predict post-anaesthetic shivering in patients undergoing caesarean section with spinal anaesthesia.

scholarly journals Postpartum femoral neuropathy: managing the next pregnancy

2019 ◽  
Vol 12 (12) ◽  
pp. e232967 ◽  
Author(s):  
Cathy Rowland ◽  
Daniel Kane ◽  
Maeve Eogan
Keyword(s):  
Caesarean Section ◽  
Motor Function ◽  
Lower Limb ◽  
Elective Caesarean Section ◽  
Mode Of Delivery ◽  
Primiparous Woman ◽  
Limb Weakness ◽  
Femoral Neuropathy ◽  
Lower Limb Weakness ◽  
Spontaneous Labour

A 34-year-old primiparous woman presented in spontaneous labour and had an unassisted vaginal birth of a 3.5 kg infant. Postnatally, the patient experienced lower limb weakness and was unable to mobilise unassisted. A diagnosis of postpartum femoral neuropathy was made. Full recovery of normal motor function was not achieved until 5 months postpartum. She returned in her next pregnancy, seeking advice on how to avoid this complication from reoccurring. It was decided that an elective caesarean section was an appropriate mode of delivery, which she underwent at 39 weeks without complication and without recurrence of the femoral neuropathy.

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