Check the Blood Pressure!: An Educational Tool for Anesthesiology Trainees Converting Epidural Labor Analgesia to Cesarean Delivery Anesthesia

Xiwen Zheng; Zuhair Siddiqui; Nick Anderson; Chen Miao Chen; Madhabi Chatterji; Richard Smiley; Ruth Landau; Marie Louise Meng

doi:10.1213/XAA.0000000000001174

Check the Blood Pressure! An Educational Tool for Anesthesiology Trainees Converting Epidural Labor Analgesia to Cesarean Delivery Anesthesia

Xiwen Zheng, Zuhair Siddiqui, Nick Anderson, Chen Miao Chen, Madhabi Chatterji, Richard Smiley, Ruth Landau, Marie Louise Meng

Research output: Contribution to journal › Article › peer-review

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).

Original language	English (US)
Pages (from-to)	e01174
Journal	A&A practice
Volume	14
Issue number	6
DOIs	https://doi.org/10.1213/XAA.0000000000001174
State	Published - Apr 1 2020
Externally published	Yes

ASJC Scopus subject areas

General Medicine

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10.1213/XAA.0000000000001174

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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).",

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AU - Anderson, Nick

AU - Chen, Chen Miao

AU - Chatterji, Madhabi

AU - Smiley, Richard

AU - Landau, Ruth

AU - Meng, Marie Louise

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Check the Blood Pressure! An Educational Tool for Anesthesiology Trainees Converting Epidural Labor Analgesia to Cesarean Delivery Anesthesia

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