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The article discusses the guidelines used for the management of hypotension with vasopressors during caesarean section under spinal anaesthesia. It mentions that hypotension following combined or spinal spinal epidural anaesthesia at caesarean section causes both maternal and fetal/neonatal adverse effects. It also mentions that hypotension is a common consequence of the sympathetic vasomotor block caused by spinal anaesthesia.

The article describes the case of a woman who was 37 weeks pregnant, who presented with cardiogenic shock secondary to spontaneous left main coronary artery dissection. The long-term outcomes and specific anesthesia management of combined cardiac surgery in pregnancy and cesarean delivery are explored. Spontaneous coronary artery dissection is also mentioned as a rare and often fatal complication of pregnancy.

The article discusses a review which summarizes the physiological and pharmacological changes that occur when an obese woman becomes pregnant. It discusses the obstetric and obstetric anaesthetic implications of moderate and severe obesity. Suggestions for the safe anaesthetic management of these women for labor and delivery are also provided.

Cardiac arrest in pregnancy is a rare event in which the speed of the response and attention to a number of pregnancy-specific interventions is crucial to the outcome. The commencement of a perimortem Caesarean delivery within 4 min of the onset of the arrest has been recommended as a technique to potentially improve survival in both the mother and the fetus but presents significant logistical challenges to the health-care facility. In this report, we describe two cases of cardiac arrest in pregnancy in which a perimortem Caesarean was performed as part of the resuscitation process and was associated with excellent maternal and neonatal outcomes. We discuss some of the issues surrounding the performance of a perimortem Caesarean delivery that were relevant to this case, including experience from the training that is provided in our institution. [ABSTRACT FROM PUBLISHER]

The article reviews the commonly utilized opioid-based methods, incorporated into a multimodal approach, for post-cesarean pain management. Patient preferences and expectations, surgical difficulty and duration, and preference and experience of anaesthetist are said to influence the choice of analgesic regimen. The post-caesarian pain management approaches include neuraxial techniques and adjuncts, intrathecal, oral and epidural opioids, and nonsteroidal anti-inflammatory drugs.