Postdural Puncture Headache — Flashcards

Flashcard 1: _____ anesthesia is the first choice for most patients with preeclampsia during labor, vaginal delivery, and cesarean section

Answer: Epidural

Flashcard 2: _____ analgesia is recommended in labour, to women with suspected or confirmed COVID-19

Answer: Epidural

Flashcard 3: Which type of anesthesia is preferred for the management of a patient with severe **post-partum hemorrhage** and hemodynamic instability?

Answer: General anesthesia

Extra: General anesthesia (GA) is the technique of choice in the presence of hypovolemic shock because neuraxial anesthesia (spinal/epidural) causes sympathectomy, which can lead to profound, life-threatening hypotension. **Note on Inhalational Agents:** Volatile anesthetics (like Sevoflurane or Isoflurane) are potent uterine relaxants. While this is beneficial for manual removal of a retained placenta or uterine inversion, these agents should be used at very low concentrations (<0.5 MAC) if the PPH is due to uterine atony to avoid worsening the hemorrhage.

Flashcard 4: Which anesthetics have the most potent effect on uterine relaxation?_____

Answer: Halogenated anesthetics (halothane)

Flashcard 5: Which inhalational agent is the best uterine relaxant?_____

Answer: Halothane

Flashcard 6: In an obstetric emergency (eg. cord prolapse), the ideal anaesthetic of choice would be _____ anesthesia

Answer: general

Flashcard 7: Most common cause of death during GA in obstetrics is _____ syndrome

Answer: Mendelson's syndrome

Flashcard 8: The concentration of bupivacaine used in labour analgesia/walking-epidural is ____%.

Answer: 0.0625-0.1

Flashcard 9: _____ is the vasopressor of choice in pregnant patients developing hypotension following neuraxial anesthesia

Answer: Phenylephrine