AANA Journal February 2009 Vol. 77, No. 1 29 There is little data currently available for the obstetric anesthetist to use as a reference for the anesthetic management of laboring women with automatic implantable cardioverter-defibrillators (AICDs). This case report involves a parturient with an AICD and a history of serious cardiac events.The information contained in this case report may be us...

In order to optimize anesthetic management and avoid adverse maternal and fetal outcomes, a clear understanding of the changes in cardiovascular physiology that occur during pregnancy is paramount. The effects of normal gestation on the cardiovascular system are particularly significant in a parturient with cardiac valvular pathology. We present a case of a 27-year-old G2P0 at 37 weeks with a p...

INTRODUCTION Polymyositis which is a rare disease both in general population and in pregnancy is systemic connective tissue disorder characterized by inflammation and degeneration of muscles. There is only a little information relating to the anesthetic management of a pregnant woman with polymyositis. CASE PRESENTATION In this article, we present anesthetic management of urgent cesarean deli...

We construct quasiconformal mappings in Euclidean spaces by integration of a discontinuous kernel against doubling measures with suitable decay. The differentials of mappings that arise in this way satisfy an isotropic form of the doubling condition. We prove that this isotropic doubling condition is satisfied by the distance functions of certain fractal sets. Finally, we construct an isotropic...

The authors present the central capacity sharing (CCS) model and derive equations describing its behaviors to explain results from dual-task situations. The predictions of the CCS model are contrasted with those of the central bottleneck model. The CCS model predicts all of the hallmark effects of the psychological refractory period (PRP) pardigm: -1 slope of the PRP effect at short stimulus on...

Stimuli that are clearly positive or negative (hence valence-laden stimuli) have the potential to interrupt unrelated task processing. A typical example is the emotional Stroop effect (ESE) in which responding to a certain task feature (e.g., color) is delayed by the presentation of task-irrelevant valent stimuli (e.g., negative pictures) compared to valence-neutral stimuli. Here we scrutinize ...

In Spain, vaccination against rubella was initiated in schoolgirls in the mid-1970s. In Gipuzkoa, subsequent extensions to the vaccination schedule culminated in 1992 with the introduction of the two-dose measles, mumps and rubella vaccine in children and adolescents of both sexes. Moreover, in 1985 a programme for the identification and vaccination of non-immune parturient women was implemente...

Anesthetic management during labor and delivery of a parturient after severe burn injury presents many unique challenges. We report the case of a 25-year-old parturient with a history of 85-90% total body surface area burn in 2002, who presented for a pre-delivery anesthesia evaluation. We outline the management plan that was devised and resulted in adequate labor analgesia. There are a few cas...

Here, we report a rare case of a 23-year-old term parturient with Eisenmenger syndrome due to Taussig-Bing anomaly presenting with gestational hypertension, oligohydramnios, and intrauterine growth retardation posted for elective cesarean section. Preoperatively, echocardiography of the patient was suggestive of double-outlet right ventricle (DORV) with large sub-pulmonic ventricular septal def...