Complications in OB anesthesia Flashcards
What is the cause of post partum maternal palsy?
Cephalopelvic disproportion (large baby or small maternal anatomy)
PPMP- injury to the lumboscaral plexus causing neurological damage
For patients with PIH and a platelet count of ___, a PTT is required
100K
Also, shouldn’t be falling rapidly, or could indicate HELLP
Dont remove a neuraxial catheter until ___h after last dose of LMWH
12h
Avoid neuraxial block for __ if therapeutic anticoagulated, and for __ if prophylactically anticoagulated
24h
12h
Avoid concurrent anticoagulants with ___
NSAIDS
Do not administer LMWH for ___ after block is placed or catheter is rmeoved
2-4h
S&S epidural hematoma
Back pain
Leg weakness
Incontinence
Surgical decompression d/t epidural hematoma must occur within ___
6h for full neurological recovery
How long will it take an epidural abscess to create an infection?
4-10 days then pain and loss of function
Presentation of epidural abscess
Severe back pain worsened with flexion
Local tenderness
Fever, malaise
Increased WBC
Progression to neuro deficit or osteomyelitis
What is transient neurologic syndromes
Pain and dysedthesia in bittocks, leg, calves than can follow SAB that resolves in 72 hours
Most common with Lidocaine spinals
PDPH occurs when?
12-48 hours after dura puncture
Lasts for a few days to a week
PDPH risk factors
Young
Female
Pregnant
Bigger needle (25g low risk .01, 16 high risk .8_
Cutting needle (quincke)
Air instead of fluid
What is the most common cause of perioperative headache?
Caffeine withdrawal
What is arnold chiara malformation?
Condition when lower brainstem is malpositioned caudally (lower) and puts you at risk for PDH|PH
