Publications by authors named "T Okutomi"
Background Postpartum peripheral nerve injuries can impact recovery. Elastic stockings are recommended for thromboembolism prevention, although concerns about entrapment neuropathy exist. In this prospective observational study, we investigated the differential compressions caused by wearing elastic stockings before and after anesthesia, as well as changes in the diameters of the lower leg and ankle in parturient women undergoing spinal anesthesia for elective cesarean section (CS).
View Article and Find Full Text PDFBackground: We evaluated whether baseline maternal heart rate variability (HRV), including the Analgesia Nociception Index (ANI), is associated with maternal hypotension and fetal heart rate (FHR) abnormalities following combined spinal-epidural (CSE) labor analgesia.
Methods: Laboring women were enrolled in this prospective observational study. The primary endpoint was maternal hypotension.
Amniotic fluid embolism (AFE) is a rare but fatal obstetric complication, characterized by sudden cardiovascular collapse, respiratory failure, and disseminated intravascular coagulation. Maternal mortality associated with AFE is high, making early recognition and prompt treatment important. In AFE with cardiac arrest, survival following acute cardiopulmonary dysfunction is crucial.
View Article and Find Full Text PDFArticle Synopsis
- - Jeune syndrome, a rare genetic disorder, causes severe skeletal issues leading to problems with the chest and lungs, primarily affecting newborns.
- - The disorder significantly complicates pregnancy, with women rarely giving birth and a low survival rate into adulthood.
- - This report highlights a pioneering case of a cesarean delivery using spinal anesthesia in a woman with Jeune syndrome who had previous surgeries for chest wall and spinal issues.