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Biomedical subjects

F Plaat

Publications and source records attributed to F Plaat.

At least 19 recordsLinked to original sources
PubMed2003

Survey of anaesthetic support staff in obstetric units in England and Wales.

In order to determine the current level of support provided to anaesthetists on the labour suite, a postal questionnaire was sent to the lead consultants of the 257 obstetric units in England and Wales. One hundred and ninety-five replied, a response rate of 76%. Of those who replied, only 1% of units experienced frequent delays to elective obstetric lists due to lack of an anaesthetic assistant and 141 units (72%) had a designated assistant for the labour ward. However, 58 units experienced delays waiting for an anaesthetic assistance in emergency situations (29%). One hundred and sixty-eight units (86%) had an operating department practitioner/nurse (ODP/N) resident on call for the hospital, but not exclusively for the maternity unit. In 76% of units, midwives assisted the anaesthetist when inserting regional blocks in labour. More than one-third of respondents thought that it would be appropriate to have a dedicated ODP/N resident on call for the labour ward who would also assist with labour analgesia blocks.

Analgesia, Epidural↗
PubMed2002

Upright versus recumbent position in the second stage of labour in women with combined spinal-epidural analgesia.

Neuraxial blockade is widely used for pain relief in labour. This form of analgesia may be associated with an increase in instrumental delivery rates due to dystocia. 'Traditional' epidurals cause motor blockade and hence immobility. Using a low dose anaesthetic-opioid combination with either epidural or combined spinal-epidural, selective sensory blockade can be achieved, allowing mobility as well as pain relief. In this study, we randomised women with combined spinal-epidural analgesia either to mobilise (upright group n = 25) or to remain recumbent (n = 41) in the second stage of labour. We found women in the upright group had significantly shorter total second stage, (132 vs 109 min,P = 0.019) particularly during the pushing phase (73 vs 51 min, P = 0.011). Although there were fewer instrumental deliveries in the upright group, this was not statistically significant. Women who were randomised to the upright group, did actually mobilise. We conclude that mobilisation in the second stage of labour is possible, and may reduce the length of the second stage.

Clinical Trial↗
PubMed2001

Angio-oedema following rectal diclofenac after caesarean section.

We report a case of an acute allergic reaction to rectal diclofenac following elective caesarean section in a patient taking ibuprofen. The reaction presented as severe angio-oedema affecting the face and tongue. Serial blood samples failed to show the rise in tryptase levels characteristic of an anaphylactic or anaphylactoid reaction. Diclofenac is widely used for postoperative pain relief in women undergoing caesarean section. To our knowledge this is the first time that an adverse reaction to diclofenac given via this route has been reported in an obstetric patient.

Journal Article↗
PubMed1999

Benign intracranial hypertension and anaesthesia for caesarean section.

Benign intracranial hypertension (idiopathic hypertension, pseudomotor cerebrii) describes the syndrome of elevated intracranial pressure without clinical, laboratory or radiological evidence of a focal lesion. Unlike conditions where intracranial pressure is raised due to a space-occupying lesion, dural puncture is not contraindicated. In this report we describe the delivery by caesarean section of a parturient with this rare condition using the needle through needle combined spinal-epidural technique.

Journal Article↗