Learning Zone. Neurological Monitoring Associated with Obstetric Neuroaxial Block. Dr Sadia Jamil

Topic of the month Date
Neurological Monitoring associated with obstetric neuraxial block
January 2021
OAA webcast (in last 4 years) Neurological monitoring associated with obstetric neuraxial block, Dr Rachel Collis, Obstetric Anaesthesia Update Webinar, 50 mins in.
Webcast Password: online

Neuraxial Anaesthesia-assessing the block prior to CS Dr Felicity Plaat, 9th Jan 2021
Webcast Password: NewYear
OAA posters (in last 4 years) Neurological monitoring associated with obstetric neuraxial block
Poster

Introduction of a troubleshooting guideline to inadequate labour analgesia
Poster
    MBRRACE-UK UKOSS Epidural haematoma or abscess study
    UKOSS Annual report 2017, pg 15
    National guidelines Anaesthesia 2020, Safety guideline: neurological monitoring associated with obstetric neuraxial blockade 2020. Joint guideline by the Association of Anaesthetists and the Obstetric Anaesthetists’ Association
    PDF

    Regional anaesthesia and patients with abnormalities of coagulation. 2013 OAA / AoA. PDF

    National Institute for Health and Care Excellence. Clinical guideline [CG190]: Intrapartum care for healthy women and babies, 2014 (revised 2017). London: NICE, 2017. Section 1.9, Pain relief in labour: regional anaesthesia

    Best Practice in the Management of Epidural Analgesia in the Hospital Setting (Nb excludes obstetric setting) Participating organisations (Association of Anaesthetists, Faculty of Pain Medicine of the Royal College of Anaesthetists, Royal College of Anaesthetists, Royal College of Nursing, British Pain Society, European Society of Regional Anaesthesia and Pain Therapy, Association of Paediatric Anaesthetists of Great Britain and Ireland
    PDF
    Clinical guidelines Anaesthesia 2020, Safety guideline: neurological monitoring associated with obstetric neuraxial blockade 2020. Joint guideline by Association of Anaesthetists and the Obstetric Anaesthetists’ Association
    PDF
    Audit / Qu suggestions
    Create an audit tool using the recommendations from Anaesthesia 2020 Safety guideline: neurological monitoring associated with obstetric neuraxial block.
    Ensure local guidelines contain information on neurological monitoring.
    Ensure midwifery epidural training programmes include up to date information on neurological monitoring after neuraxial block.

    Raising the standards: RCoA Quality Improvement Compendium
    7Obstetric practice
    7.3 Response times for the provision of intrapartum analgesia and anaesthesia pg. 246
    7.4 Regional anaesthesia during labour pg. 248

    ACSA standard 1.7.2.7 Pg 102 Midwives are trained to an agreed local standard in the management of regional analgesia

      FRCA questions Final FRCA Written Obstetric Past Questions

      Search for labour, epidural space, post dural puncture headache and testing spinal block
      Simulation suggestion
      Simulation for neurological monitoring
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