Eating and drinking in labor: Should it be allowed?

Maharaj, Dushyant

doi:10.1016/j.ejogrb.2009.04.019

Cited by 23 publications

(25 citation statements)

References 38 publications

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“…In children, the minimum fasting time required of clear liquids (water, fruit juice without pulp, carbonated drinks, tea, and dextrose) to have an adequate gastric emptying without any digestive problems was two to six hours (López-Muñoz et al ., 2002;Maharaj, 2009). …”

Section: Preventing Ger During Anesthesiamentioning

confidence: 99%

Gastroesophageal reflux in anesthetized dogs: a review

Rodríguez-Alarcón

Rivera-Barreno

Díaz

et al. 2015

Rev Colomb Cienc Pecu

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SummaryGastroesophageal reflux can be a catastrophic illness in small animals during anesthesia since its complications can cause serious pathologies, such as esophagitis, esophageal stenosis and aspiration pneumonia. With an incidence from 12 to 78.5% in anesthetized dogs, gastroesophageal reflux is normally silent during anesthesia and will be notices only if regurgitation occurs and stomach acid is present in the nasal or oral cavities. In humans, gastroesophageal reflux disease (GERD) is a well-defined pathology where the lower esophageal sphincter has a sustained weakness. However, in dogs, gastroesophageal reflux disease as such is not well established, if at all; it has only been described as gastroesophagic reflux, occurring principally in anesthetized animals. There are several factors influencing the presentation of reflux in anesthetized dogs, which may be inherent to the patient (e.g. age, sex, breed, weight, or body condition), medications used prior to and during anesthesia, type of surgery or position of the animal during surgery. The objective of this review is to discuss a series of conditions that could predispose dogs to gastroesophageal reflux during anesthesia and to assist in the prevention and diagnosis of this condition.

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Section: Preventing Ger During Anesthesiamentioning

confidence: 99%

Gastroesophageal reflux in anesthetized dogs: a review

Rodríguez-Alarcón

Rivera-Barreno

Díaz

et al. 2015

Rev Colomb Cienc Pecu

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“…37 Additionally, the FT-LMA has been shown to be useful in the pregnant patient, a population with a known potentially difficult airway [46][47][48] and considered to have unpredictable gastric emptying and fasting states. 49 In a 2004 case report, use of the FT-LMA is described in a failed intubation scenario when a pregnant patient's airway needed to be secured with an ETT. 50 In a 2004 survey of available airway equipment in Irish obstetrical units, only 50% of the difficult airway carts were stocked with the FT-LMA.…”

Section: Unanticipated Difficult Intubation In the Operating Roommentioning

confidence: 99%

The FastrachTM Intubating Laryngeal Mask Airway®: an overview and update

Gerstein

Braude

Hung

et al. 2010

Can J Anesth/J Can Anesth

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Purpose To provide an evidence-based overview and update on the use of the Fastrach TM Intubating Laryngeal Mask AirwayÒ (FT-LMA) when used within operative and non-operative settings. Principal findings The FT-LMA is available in three sizes to provide ventilation and the ability to pass an endotracheal tube (ETT) into the trachea blindly, semi-blindly, or with indirect visualization for patients over 30 kg. The Chandy maneuver is recommended routinely; the first maneuver optimizes ventilation, and the second maneuver increases success at endotracheal intubation (ETI). The manufacturer's reinforced tube or a pre-warmed or reversed standard ETT may be utilized. Insertion and ventilation are successful in almost all patients. Blind ETI is highly successful; adjuncts are generally not necessary. The FT-LMA has a proven role in the airway management of anticipated difficult operating room (OR) intubations, unanticipated OR intubations, cervical spine injuries, and limited airway access situations. Literature in the pre-hospital and emergency department settings is limited but favourable. The FT-LMA has compared favourably with fibreoptic intubation, the LMA-Classic TM , the laryngeal tube, and the CobraPLA TM . Initially, the more expensive LMA CTrach TM appeared to be more successful, but overall it is not. The FT-LMA airway seal pressures are excellent; serious complications are uncommon, and the FT-LMA figures prominently in most difficult airway guidelines. Conclusions The FT-LMA has proven to be a useful difficult airway device both within and outside of the operating room. Effective ventilation is established in nearly all cases, and blind ETI is possible in the vast majority of cases if the optimal techniques described are used. Serious complications are uncommon. Constatations principales Le FT-LMA est disponible en trois tailles pour permettre la ventilation et le passage d'une sonde endotrache´ale (SET) dans la trache´e de façon aveugle, semi-aveugle ou avec visualisation directe chez les patients pesant plus de 30 kg. La manoeuvre de Chandy est recommande´e de façon routinie`re; la premie`re manoeuvre optimise la ventilation, et la seconde augmente le succe`s lors d'une intubation endotrache´ale (IET). La sonde arme´e du fabricant ou une SET standard pre´chauffe´e ou inverse´e peut eˆtre utilise´e. L'insertion et la ventilation re´ussissent chez presque tous les patients. L'IET en aveugle a un taux de re´ussite e´leve´; en re`gle ge´ne´rale, les accessoires ne sont pas ne´cessaires. Le FT-LMA joue un rôle e´prouve´dans la prise en charge des voies ae´riennes lors d'intubations anticipe´es comme difficiles dans la salle d'ope´ration (SOP), d'intubations impre´vues en SOP, de le´sions de la colonne cervicale et dans les situations oul 'acce`s aux voies ae´riennes est limite´. La litte´rature portant sur son utilisation dans des contextes pre´-hospitaliers et dans le de´partement des urgences est restreinte mais favorable. Le FT-LMA a e´te´favorablement compare´al 'intubation par fibroscopie, au LMA...

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“…V treh porodnišnicah lahko ženska, ki rodi s carskim rezom, prvič zaužije hrano po 24 urah, v sedmih vsaj po šestih urah in v eni vsaj po treh urah. Maharaj (2009) v pregledu literature zaključuje, da obstajajo dokazi, ki govorijo v prid pitju tekočin med porodom, medtem ko ni dovolj dokazov, da bi z veliko zanesljivostjo odpravili prepoved uživanja hrane.…”

Section: Diskusijaunclassified

Vpliv porodnih praks na porodno izkušnjo v institucionalni oskrbi

Prosen

2019

Obzor Zdrav Neg

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Uvod: Nosečnost in porod sta naravna dogodka, čeprav ju danes – ob upoštevanju dejstva, da živimo v »družbi tveganja« – opredeljujemo skozi prizmo patologije in potencialnih nevarnosti. Cilj raziskave je bil razumeti izkušnje in doživljanja žensk, povezana z rojevanjem v porodnišnicah skozi prevladujoče porodne prakse, ki so po prepričanju žensk pomembno krojile njihovo porodno izkušnjo.Metode: Uporabljena je bila sekundarna analiza kvalitativnih podatkov. Primarni podatki so bili zbrani leta 2014 v okviru raziskave Medikalizacija nosečnosti in poroda kot družbena konstrukcija z narativno metodo. V vzorec sekundarne analize je bilo vključenih 18 transkriptov intervjujev z ženskami, ki so rodile v porodnišnici. Analiza kvalitativnih podatkov je bila izvedena s pomočjo računalniškega programa NVivo, verzija 12.Rezultati: V analizi so bile identificirane tri teme: (1) pomembnost podpore zdravstvenega osebja in avtonomija odločanja; (2) sprememba fokusa v dojemanju carskega reza kot naravnega načina rojevanja; (3) rutinizacija in tehnifikacija porodnih praks.Diskusija in zaključek: Rojevanje tako danes kot nekoč usmerjajo negativne in pozitivne porodne izkušnje. Poznati je treba oboje. Za ženske je prva porodna izkušnja poučna in obenem določujoča, saj na njeni podlagi presojajo prihodnje porodne izkušnje. Podpora zdravstvenega osebja ter avtonomija odločanja sta ključni za pozitivno porodno izkušnjo. K temu bi lahko v prihodnje pomembno prispevale tudi spremembe nekaterih utečenih porodnih praks, ki bi morale hitreje slediti praksi, utemeljeni z dokazi.

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Eating and drinking in labor: Should it be allowed?

Cited by 23 publications

References 38 publications

Gastroesophageal reflux in anesthetized dogs: a review

Gastroesophageal reflux in anesthetized dogs: a review

The FastrachTM Intubating Laryngeal Mask Airway®: an overview and update

Vpliv porodnih praks na porodno izkušnjo v institucionalni oskrbi

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