Recent Advances in Obstetric Anesthesiology: Part II

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Anesthesiology".

Deadline for manuscript submissions: 30 October 2024 | Viewed by 1451

Special Issue Editor


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Guest Editor
Department of Anesthesiology, Aretaieion University Hospital, National and Kapodistrian University of Athens, 11528 Athens, Greece
Interests: anesthesiology; obstetric anesthesia; regional anesthesia; labor analgesia; perioperative care; postoperative pain; opioid-sparing techniques; opioid-free techniques quality of recovery
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Special Issue Information

Dear Colleagues,

It is with great pleasure and satisfaction that I communicate to you the upcoming Special Issue: "Recent Advances in Obstetric Anesthesiology: Part II", following the success of the first edition. Therefore, I would like to invite you to contribute to a second editorial project focused on a range of inter- and multidisciplinary topics in this exciting field.

Obstetric anesthesiologists play a vital role in safeguarding maternal safety and ensuring an optimal outcome for both the mother and fetus.  In recent years, we have witnessed significant advances in obstetric anesthesiology encompassing the whole field of perinatal care of obstetric patients. Innovations have emerged which have made labor analgesia safer and more effective, advances exist today in spinal and epidural techniques for operative deliveries, new treatments for hypotension associated with neuraxial blockade have been introduced, algorithms and guidelines have improved safety of general anesthesia in obstetrics. The aforementioned facts, along with tailored strategies and a systematic approach in postpartum hemorrhage management as well as improved education and the use of simulation have led to a considerable reduction in anesthesia-related morbidity and mortality.

The Special Issue aims to provide up-to-data data by presenting research on the sub-specialty of obstetric anesthesiology and to be a comprehensive aggregation of work performed by experts in the field, thus providing a valuable resource of knowledge for obstetric anesthesiologists worldwide. By providing the opportunity to publish a significant number of articles on this important issue in modern anesthesia practice, we hope we will be able to enhance the readers’ ability to appreciate recent advances in obstetric anesthesiology and augment their potential gain of knowledge. Therefore, this Special Issue encourages submissions on the current state-of-the-art but also on ongoing controversies related to the practice of obstetric anesthesiology.

I would therefore kindly invite health care professionals and researchers involved in the care of obstetric patients to address relevant topics and submit original research articles, reviews, meta-analyses or observational studies to the JCM in order to get published in this Special Issue after a thorough peer-review by experts in the field.

I am very much looking forward to receiving your submissions.

Prof. Dr. Kassiani Theodoraki
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • obstetric anesthesia
  • cesarean section
  • labor pain
  • labor analgesia
  • epidural analgesia
  • neuraxial block
  • regional anesthesia
  • spinal anesthesia
  • combined spinal–epidural anesthesia
  • hypotension

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Published Papers (1 paper)

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Research

13 pages, 1913 KiB  
Article
Management and Outcome of Women with Placenta Accreta Spectrum and Treatment with Uterine Artery Embolization
by Vanessa Neef, Armin N. Flinspach, Katrin Eichler, Tirza R. Woebbecke, Stephanie Noone, Jan A. Kloka, Lukas Jennewein, Frank Louwen, Kai Zacharowski and Florian J. Raimann
J. Clin. Med. 2024, 13(4), 1062; https://doi.org/10.3390/jcm13041062 - 13 Feb 2024
Viewed by 1137
Abstract
Background: Placenta accreta spectrum (PAS) disorders are a continuum of placental pathologies with increased risk for hemorrhage, blood transfusion and maternal morbidity. Uterine artery embolization (UAE) is a safe approach to the standardization of complex PAS cases. The aim of this study is [...] Read more.
Background: Placenta accreta spectrum (PAS) disorders are a continuum of placental pathologies with increased risk for hemorrhage, blood transfusion and maternal morbidity. Uterine artery embolization (UAE) is a safe approach to the standardization of complex PAS cases. The aim of this study is to analyze anemia and transfusion rate, outcome and anesthesiological management of women who underwent caesarean delivery with subsequent UAE for the management of PAS. Material and Methods: This retrospective observational study included all pregnant women admitted to the University Hospital Frankfurt between January 2012 and September 2023, with a diagnosis of PAS who underwent a two-step surgical approach for delivery and placenta removal. Primary procedure included cesarean delivery with subsequent UAE, secondary procedure included placenta removal after a minim of five weeks via curettage or HE. Maternal characteristics, anesthesiological management, complications, anemia rate, blood loss and administration of blood products were analyzed. Results: In total, 17 women with PAS were included in this study. Of these, 5.9% had placenta increta and 94.1% had placenta percreta. Median blood loss was 300 (200–600) mL during primary procedure and 3600 (450–5500) mL during secondary procedure. In total, 11.8% and 62.5% of women received red blood cell transfusion during the primary and secondary procedures, respectively. After primary procedure, postpartum anemia rate was 76.5%. The HE rate was 64.7%. Regional anesthesia was used in 88.2% during primary procedure. Conclusion: The embolization of the uterine artery for women diagnosed with PAS is safe. Anemia management and the implementation of blood conservation strategies are crucial in women undergoing UAE for the management of PAS. Full article
(This article belongs to the Special Issue Recent Advances in Obstetric Anesthesiology: Part II)
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