Check the Blood Pressure!: An Educational Tool for Anesthesiology Trainees Converting Epidural Labor Analgesia to Cesarean Delivery Anesthesia. Issue 6 (April 2020)

• Record Type: Journal Article
• Authors: Zheng, Xiwen; Siddiqui, Zuhair; Anderson, Nick; Chen, Chen-Miao; Chatterji, Madhabi; Smiley, Richard; Landau, Ruth; Meng, Marie-Louise
• Is Part Of: A & A practice. Volume 14:Issue 6(2020)
• Publication Date: 2020-04
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000001174
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : Recognition and treatment of maternal hypotension during epidural anesthesia administration for intrapartum cesarean delivery preserves maternal-fetal perfusion. A case that required quality assurance review uncovered lapses in maternal hemodynamic monitoring during the transition to intrapartum cesarean delivery anesthesia. To address this, a practice outline was designed for trainee's education describing intrapartum epidural dosing for cesarean delivery and adequate blood pressure monitoring. The time-lapse between epidural dosing and subsequent blood pressure was evaluated before and after the introduction of our educational tool. The time-lapse between blood pressure measures decreased to <10 minutes (10.78–13.92 vs 8.8–9.76 minutes).