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Pneumocephalus and empyema in the subarachnoid space secondary to spinal-epidural anesthesia are very rare and have not previously been reported, to our knowledge. Here, we describe the imaging features of an older woman presenting with pneumocephalus plus subarachnoid and intraventricular empyema due to Staphylococcus epidermidis infection after spinal-epidural anesthesia, with the aim of raising awareness regarding this serious complication.
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http://dx.doi.org/10.1016/j.heliyon.2024.e26029 | DOI Listing |
Int J Obstet Anesth
September 2025
Westmead Hospital Department of Anaesthesia and Perioperative Medicine, Westmead, Australia.
Background: Maternal cardiovascular disease (CVD) is a leading cause of maternal mortality. Data on anaesthetic management in patients with CVD is limited.
Methods: This ten-year retrospective cohort study of 508 pregnancies in women with CVD, stratified by modified World Health Organization (mWHO) risk category, compared lowrisk (mWHO I-II) (n = 323) and high-risk (mWHO II to III-IV) (n = 185) groups to a control obstetric population (n = 55,153).
Am J Obstet Gynecol
July 2025
Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, CA.
Optimal neuraxial anesthesia for cesarean delivery requires a thorough understanding of patient, obstetrical, surgical, and anesthesia-related factors which can impact pain during and after cesarean delivery. While not all cesarean deliveries are the same from an obstetrical standpoint, not all anesthetics provide the same degree of anesthetic blockade and postcesarean analgesia; therefore, context is crucial to provide patients with a safe and pain-free experience. Communication between obstetrical and anesthesia teams is key to ensure that the anesthetic approach is tailored to the clinical scenario, particularly if emergency cesarean delivery is needed, and follows best practices for cesarean delivery anesthesia.
View Article and Find Full Text PDFJAMA Netw Open
August 2025
Department of Anesthesiology, the Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Importance: Postpartum uterine contraction pain manifests as a severe, intermittent lower abdominal discomfort caused by uterine contraction during the early puerperium. Transcutaneous auricular vagus nerve stimulation (taVNS) has demonstrated promising effects in managing both acute and chronic pain conditions; however, there remains a paucity of studies regarding the use of taVNS for alleviating postpartum uterine contraction pain.
Objective: To investigate the effect of taVNS in alleviating postpartum uterine contraction pain among women receiving combined spinal-epidural anesthesia for elective cesarean delivery.
J Pain Res
August 2025
Department of Anesthesiology, Shaanxi Provincial People's Hospital, Xi'an, Shaanxi, 710068, People's Republic of China.
At present, few studies on labor analgesia focus on preventing and managing neurological complications, and there is a lack of specific operational guidelines for clinical practice. This study aims to compare spinal analgesia-epidural analgesia (SA-EA) and combined spinal-epidural analgesia (CSEA) in reducing neurological complications during labor analgesia. SA-EA group: A standard spinal needle (0.
View Article and Find Full Text PDFMedicine (Baltimore)
August 2025
Department of Urology, Chengdu Second People's Hospital, Chengdu, Sichuan Province, P.R. China.
Background: To conduct a comprehensive meta-analysis of existing evidence to compare the safety and efficacy of sonography-guided percutaneous nephrolithotomy (PCNL) under local infiltration anesthesia and both general anesthesia (GA) and combined spinal-epidural anesthesia for upper urinary calculi.
Methods: We conducted a systematic literature search in the EMBASE, MEDLINE, Cochrane databases, China National Knowledge Infrastructure, Chinese Biomedical Literature Database, and Google Scholar to identify relevant studies published in English or Chinese up to March 2024. Literature reviewed included randomized and nonrandomized studies.