ReviewLocal and regional anesthesia2019
Obesity And Obstetric Anesthesia: Current Insights.
Review in Local and regional anesthesia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Comparison of neuraxial anesthesia and analgesia strategies for obese parturients: a systematic review and network meta-analysis.BMC anesthesiology · 2026Pooled it
- Accuro ultrasound-based system with computer-aided image interpretation compared to traditional palpation technique for neuraxial anesthesia placement in obese parturients undergoing cesarean delivery: a randomized controlled trial.Journal of anesthesia · 2021Trial
- Effect of maternal body mass index on the dosage of metaraminol for preventing hypotension after spinal anesthesia.BMC anesthesiology · 2026Article
- Intraoperative hemodynamics and anesthetic implications in superobese parturients undergoing cesarean delivery: a retrospective cohort analysis.Archives of gynecology and obstetrics · 2026Article
- The effectiveness of counseling with a motivational interview approach on health-promoting lifestyles in preventing excessive weight gain in pregnant women: Study protocol.Journal of education and health promotion · 2026Article
- Endoscopic-Assisted Spinal Approach to Remove a Broken Spinal Needle: Technical Notes and Case Report of a Complication of Spinal Anesthesia.Case reports in orthopedics · 2026Article
- Safety and complications of labour epidural analgesia in obese parturients: worrying is not worth the weight!Anaesthesiology intensive therapy · 2024Review
- A prospective randomized double-blind study comparing the dose-response curves of epidural ropivacaine for labor analgesia initiation between parturients with and without obesity.Frontiers in pharmacology · 2024Article
- The Maternal and Neonatal Glycemic Stress Response in Normal Vaginal Delivery: A Comparative Study Between Epidural and Parenteral Opioids Analgesia.Local and regional anesthesia · 2024Article
- Review
- Effect of encouraging a combined spinal epidural technique for cesarean delivery anesthesia.Proceedings (Baylor University. Medical Center) · 2022Article
- Complex Pathology and Management in the Obstetric Patient: A Narrative Review for the Anesthesiologist.Cureus · 2021Review
- Anaesthesia for the parturient with obesity.BJA education · 2021Review
- Article
- Maternal Diet Quality, Body Mass Index and Resource Use in the Perinatal Period: An Observational Study.Nutrients · 2020Observational
- Pushing the Envelope in Obstetric Care: A Case Report of Cesarean Delivery in a Parturient with a BMI >100 kg mCase reports in anesthesiology · 2020Article
- Broken Spinal Needle in a Morbidly Obese Parturient Presenting for Urgent Cesarean Section.Case reports in anesthesiology · 2020Article
- Cauda equina syndrome in an obese parturient following cesarean section under combined spinal-epidural anesthesia.Saudi journal of anaesthesiaArticle
- Epidural analgesia in the obese obstetric patient: a retrospective and comparative study with non-obese patients at a tertiary hospital.Brazilian journal of anesthesiology (Elsevier)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Obesity is a significant global health problem. It results in a higher incidence of complications for pregnant women and their neonates. Cesarean deliveries are more common in obese parturients as well. The increased burden of comorbidities seen in this population, such as obstructive sleep apnea, necessitates antepartum anesthetic consultation. These patients pose unique challenges for the practicing anesthesiologist and may benefit from optimization prior to delivery. Complications from anesthesia and overall morbidity and mortality are higher in this population. Neuraxial anesthesia can be challenging to place in the obese parturient, but is the preferred anesthetic for cesarean delivery to avoid airway manipulation, minimize aspiration risk, prevent fetal exposure to volatile anesthetic, and decrease risk of post-partum hemorrhage from volatile anesthetic exposure. Monitoring and positioning of these patients for surgery may pose specific challenges. Functional labor epidural catheters can be topped up to provide conditions suitable for surgery. In the absence of a working epidural catheter, a combined spinal epidural anesthetic is often the technique of choice due to relative ease of placement versus a single shot spinal technique as well as the ability to extend the anesthetic through the epidural portion. For cesarean delivery with a vertical supraumbilical skin incision, a two-catheter technique may be beneficial. Concern for thromboembolism necessitates early mobilization and a multimodal analgesic regimen can help accomplish this. In addition, thromboprophylaxis is recommended in this population after delivery-especially cesarean delivery. These patients also need close monitoring in the post-partum period when they are at increased risk for several complications.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.