Year 2020 in review – Anaesthesiology in obstetrics

Česká verzia

Authors: P. Štourač ¹; J. Bláha ²; M. Kosinová ¹; J. Mannová ³; P. Nosková ²; H. Harazim ¹; D. Seidlová ⁴
Authors place of work: Klinika dětské anesteziologie a resuscitace, Fakultní nemocnice Brno, Lékařská fakulta Masarykovy univerzity, Brno ¹; Klinika anesteziologie, resuscitace a intenzivní medicíny, Všeobecná fakultní nemocnice v Praze, 1. lékařská fakulta, Univerzity Karlovy, Praha ²; Anesteziologicko‑, resuscitační oddělení, Nemocnice Havlíčkův Brod ³; II. anesteziologicko‑, resuscitační oddělení, Fakultní nemocnice Brno ⁴
Published in the journal: Anest. intenziv. Med., 31, 2020, č. 6, s. 299-304
Category: Review Articles

Summary

The article highlights and discusses several current topics that have been published in the field of anaesthesiology in obstetrics in the Czech Republic and abroad last year. It summarizes the influence of COVID-19 pandemic on anaesthesiological praxis in obstetrics. It also presents new developments in systemic and neuroaxial obstetric analgesia, Caesarean Section anaesthesia and emergencies in peripartum period.

Keywords:

obstetric anaesthesia – obstetric analgesia – Caesarean section anaesthesia – emergency in pregnancy.

Zdroje

1. Bampoe S, Odor PM, Lucas DN. Novel coronavirus SARS‑CoV- 2 and COVID-19. Practice recommendations for obstetric anaesthesia: what we have learned thus far. Int J Obstet Anesth. 2020 Aug; 43: 1–8.

2. Bauer ME, Bernstein K, Dinges E, Delgado C, El‑Sharawi N, Sultan P, et al. Obstetric Anesthesia During the COVID-19 Pandemic. Anesth Analg. 2020 Jul; 131(1): 7–15.

3. Bauer ME, Chiware R, Pancaro C. Neuraxial Procedures in COVID-19-Positive Parturients: A Review of Current Reports. Anesth Analg. 2020 Jul; 131(1): e22–e24.

4. Norris MC, Kalustian A, Salavati S. Epidural Blood Patch for Postdural Puncture Headache in a Patient With Coronavirus Disease 2019: A Case Report. A A Pract. 2020 Aug; 14(10): e01303.

5. Melber AA, Jelting Y, Huber M, Keller D, Dullenkopf A, Girard T, et al. Remifentanil patient‑ controlled analgesia in labour: six‑year audit of outcome data of the RemiPCA SAFE Network (2010-2015). International Journal of Obstetric Anesthesia. 2019; 39: 12–21.

6. Murray H, Hodgkinson P, Hughes D. Remifentanil patient‑ controlled intravenous analgesia during labour: a retrospective observational study of 10 years’ experience. International Journal of Obstetric Anesthesia 2019; 39: 29–34.

7. Logtenberg SLM, Vink ML, Godfried MB, Beenakkers ICM, Schellevis FG, Mol BW, et al. Serious adverse events attributed to remifentanil patient‑ controlled analgesia during labour in The Netherlands. International Journal of Obstetric Anesthesia. 2019; 39: 22–28.

8. Wang TT, Liang C, Kong FL, Dong B, Feng C. Bilateral Sanyinjiao acupuncture reduces the dose of intravenous remifentanil in labor analgesia. Clinical and Experimental Obstetrics & Gynecology 2020; 47(3): 401–404.

9. Jia Z, Li YD, Jia H, Ren J, Xie N. Curative effect of remifentanil on labor analgesia in newborns. Journal of Maternal‑Fetal & Neonatal Medicine 2020; 33(11): 1913–1918.

10. Lu GL, Yao WS, Chen XF, Zhang SJ, Zhou M. Remifentanil patient‑ controlled versus epidural analgesia on intrapartum maternal fever: a systematic review and meta‑analysis. Bmc Pregnancy and Childbirth. 2020; 20(1): 9.

11. Moran VH, Thomson G, Cook J, Storey H, Beeson L, MacArthur C, et al. Qualitative exploration of women’s experiences of intramuscular pethidine or remifentanil patient‑controlled analgesia for labour pain. Bmj Open. 2019; 9(12): 10.

12. d’Arby Toledano R, Leffert L. Neuraxial analgesia for labor and delivery (including instrumented delivery) Up To Date. [online]. last updated 8/2020. [cit. 2020-09-20] Dostupné z: https://www.uptodate.com/contents/neuraxial‑analgesia‑for‑labor‑and‑delivery‑including‑instrumented‑delivery? search=neuraxial%20analgesia & source=search_result & selectedTitle=2~150 & usage_type=default & display_rank=2.

13. Nanji JA, Carvalho B. Pain management during labor and vaginal birth. Best Pract Res Clin Obstet Gynaecol. 2020; 67: 100–112.

14. de Aragio FF, de Aragao PW, Martins CA, Leal KF, Tobias AF. Neuraxial labor analgesia: a literature review. Rev Bras Anestesiol. 2019; 69(3): 291–298.

15. Bauer ME, Bernstein K, Dinges E, Delgado C, El‑Sharawi N, Sultan P, et al. Obstetric Anesthesia During the COVID-19 Pandemic. Anesth Analg. 2020; 131(1): 7–15.

16. Lippi G, Plebani M, Henry BM. Trombocytopenia is associated with severe coronavirus disease 2019 (COVID-19) infections: a meta‑analysis. Clin Chim Acta. 2020; 506: 145–148.

17. Huang C, Wang Y, Li X. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020; 395: 497–506.

18. Bauer ME, Chiware R, Pancaro C. Neuroaxial procedures in COVID-19-positives parturients: a review of current reports. Anesth Analg. 2020; 131: e22–e24.

19. Zhong Q, Liu YY, Luo Q. Spinal anaesthesia for patients with coronavirus disease 2019 and possible transmission rates in anaesthetists: retrospective, single‑ centre, observational cohort study. Br J Anaesth. 2020; 124(6): 670–675.

20. Yentis SM, Lucas DN, Brigante L, Collis R, Cowley P, Denning S, et al. Sefety guideline: neurological monitoring associated with obstetric neuraxial block 2020. Anaesthesia 2020; 75(7): 913–919. doi: 10.1111/anae.14993. Epub 2020 Mar 1.

21. Obstetric Anaesthetists’ Association (OAA) working group. Treatment of obstetric post-dural puncture headache. Dec 2018 [online] [cit. 2020-12-08] Dostupné z: https:// www.oaa-anaes.ac.uk/assets/_managed/cms/files/Guidelines/New%20PDPH%20Guidelines. pdf

22. Au K, Shippam W, Taylor J, Albert A, Chau A. Determining the effective pre‑oxygenation interval in obstetric patients using high‑flow nasal oxygen and standard flow rate facemask: a biased‑ coin up‑down sequential allocation trial. Anaesthesia 2020 May; 75(5): 609–616. doi: 10.1111/anae.14995. Epub 2020 Feb 11. PMID: 32048278.

23. Mushambi MC, Athanassoglou V, Kinsella SM. Anticipated difficult airway during obstetric general anaesthesia: narrative literature review and management recommendations. Anaesthesia. 2020 Jul; 75(7): 945–961. doi: 10.1111/anae.15007. Epub 2020 Mar 6. PMID: 32144770.

24. Wong P, Sng BL, Lim WY. Rescue supraglottic airway devices at caesarean delivery: What are the options to consider? Int J Obstet Anesth. 2020 May; 42: 65–75. doi: 10.1016/j. ijoa.2019. 11. 004. Epub 2019 Nov 18. PMID: 31843342.

25. White LD, Thang C, Hodsdon A, Melhuish TM, Barron FA, Godsall MG, et al. Comparison of Supraglottic Airway Devices With Endotracheal Intubation in Low‑Risk Patients for Cesarean Delivery: Systematic Review and Meta‑analysis. Anesth Analg. 2020 Oct; 131(4): 1092–1101. doi: 10.1213/ANE.0000000000004618. PMID: 32925330.

26. White LD, Hodsdon A, An GH, Thang C, Melhuish TM, Vlok R. Induction opioids for caesarean section under general anaesthesia: a systematic review and meta‑analysis of randomised controlled trials. Int J Obstet Anesth. 2019 Nov; 40: 4–13. doi: 10.1016/j. ijoa.2019. 04. 007. Epub 2019 May 15. PMID: 31230994.

27. Richardson MG, Raymond BL. Sugammadex Administration in Pregnant Women and in Women of Reproductive Potential: A Narrative Review. Anesth Analg. 2020 Jun; 130(6): 1628–1637. doi: 10.1213/ANE.0000000000004305. PMID: 31283616.

28. Kinsella SM, Carvalho B, Dyer RA, Fernando R, McDonnell N, Mercier FJ, et al. International consensus statement on the management of hypotension with vasopressors during caesarean section under spinal anaesthesia. Anaesthesia, 2018; 73(1): 71–92.

29. Chooi C, Cox JJ, Lumb RS, Middleton P, Chemali M, Emmett RS, et al. Techniques for preventing hypotension during spinal anaesthesia for caesarean section. Cochrane Database Syst Rev, 2020; 7(7): Cd002251.

30. Sharkey AM, Siddiqui N, Downey K, Ye XY, Guevara J, Carvalho JCA, et al. Comparison of Intermittent Intravenous Boluses of Phenylephrine and Norepinephrine to Prevent and Treat Spinal‑ Induced Hypotension in Cesarean Deliveries: Randomized Controlled Trial. Anesthesia & Analgesia 2019; 129(5): 1312–1318.

31. Ngan Kee WD, Lee SWY, Ng FF, Khaw KS. Prophylactic Norepinephrine Infusion for Preventing Hypotension During Spinal Anesthesia for Cesarean Delivery. Anesthesia & Analgesia 2018; 126(6): 1989–1994.

32. Fu F, Xiao F, Chen W, Yang M, Zhou Y, Ngan Kee WD. A randomised double‑blind dose‑response study of weight‑adjusted infusions of norepinephrine for preventing hypotension during combined spinal‑epidural anaesthesia for Caesarean delivery. Br J Anaesth 2020; 124(3): e108–e114.

33. Vallejo MC, Attaallah AF, Elzamzamy OM, Cifarelli DT, Phelps AL, Hobbs GR, et al. An open‑ label randomized controlled clinical trial for comparison of continuous phenylephrine versus norepinephrine infusion in prevention of spinal hypotension during cesarean delivery. Int J Obstet Anesth 2017; 29: 18–25.

34. Heesen M, Hilber N, Rijs K, Rossaint R, Girard T, Mercier FJ, et al. A systematic review of phenylephrine vs. noradrenaline for the management of hypotension associated with neuraxial anaesthesia in women undergoing caesarean section. Anaesthesia 2020; 75(6): 800–808.

35. Singh PM, Singh NP, Reschke M, Ngan Kee WD, Palanisamy A, Monks DT.Vasopressor drugs for the prevention and treatment of hypotension during neuraxial anaesthesia for Caesarean delivery: a Bayesian network meta‑analysis of fetal and maternal outcomes. Br J Anaesth 2020; 124(3): e95–e107.

36. Fitzgerald JP, Fedoruk KA, Jadin SM, Carvalho B, Halpern SH. Prevention of hypotension after spinal anaesthesia for caesarean section: a systematic review and network meta‑analysis of randomised controlled trials. Anaesthesia 2020; 75(1): 109–121.

37. Qian J, Liu L, Zheng X, Xiao F. Does an Earlier or Late Intravenous Injection of Ondansetron Affect the Dose of Phenylephrine Needed to Prevent Spinal‑Anesthesia Induced Hypotension in Cesarean Sections? Drug Des Devel Ther 2020; 14: 2789–2795.

38. Xiao F, Wei C, Chang X, Zhang Y, Xue L, Shen H, et al. A Prospective, Randomized, Double‑Blinded Study of the Effect of Intravenous Ondansetron on the Effective Dose in 50% of Subjects of Prophylactic Phenylephrine Infusions for Preventing Spinal Anesthesia– Induced Hypotension During Cesarean Delivery 2020; 131(2): 564–569.

39. Uyl N, de Jonge E, Uyl‑de Groot C, van der Marel C, Duvekot J. Difficult epidural placement in obese and non‑obese pregnant women: a systematic review and meta‑analysis. Int J Obstet Anesth 2019; 40: 52–61.

40. Tubinis MD, Lester SA, Schlitz CN, Morgan CJ, Sakawi Y, Powell MF. Utility of ultrasonography in identification of midline and epidural placement in severely obese parturients. Minerva Anestesiol 2019; 85(10): 1089–1096.

41. Bláha J, Pařízek A, Štourač P, Seidlová D, Nosková P, Mannová J. Perioperační péče o pacientky podstupující císařský řez. Anest Intenziv Med. 2020; 31(1–2): 51–52.

42. Morau E, Bouvet L, Keita H, Vial F, Pierre Bonnet M, Bonnin M, et al. Anaesthesia and intensive care in obstetrics during the COVID-19 pandemic. Anaesth Crit Care Pain Med 2020; 39(3): 345–349.

43. Gynaecologists, R.C.o.O.a. Coronavirus (COVID-19) Infection in Pregnancy. [online]. Version 11: updated 24 July 2020. Dostupné z: https://www.rcog.org.uk/globalassets/ documents/guidelines/2020-07-24-coronavirus‑covid- 19-infection‑in‑pregnancy. pdf

44. McInerney HJ, Lee M, Saunders T, Schabel J, Symptomatic Intrathecal Hematoma following an Epidural Blood Patch for an Obstetric Patient with Postdural Puncture Headache: A Case Report and Synthesis of the Literature. Case Reports in Anaeshtesiology 2020. https//doi.org/10.1155/2020/8925731.

45. Khetarpal R, Kaur P, Borle, Trikha A. Ultrasound in obstetric anaesthesia and critical care. J Obstet Anaesth Crit Care 2020; 10: 75–86.

46. Van de Putte P, Wernieuwe L, Stefaan B. Point‑of‑ care ultrasound in pregnancy gastric, airway, neuraxial, cardiorespiratory. Curr Opin Anaesth 2020; 33: 277–283.