Scholars@Duke
Mary Yurashevich

Mary Yurashevich

Assistant Professor of Anesthesiology
Anesthesiology, Women's
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Selected Publications

Placenta accreta spectrum care infrastructure: an evidence-based review of needed resources supporting placenta accreta spectrum care.

Journal Article Am J Obstet Gynecol MFM · January 2024 The incidence of placenta accreta spectrum, the deeply adherent placenta with associated increased risk of maternal morbidity and mortality, has seen a significant rise in recent years. Therefore, there has been a rise in clinical and research focus on thi ... Full text Link to item Cite

Inflammatory changes in the plasma and cerebrospinal fluid of patients with persistent pain and postpartum depression after elective Cesarean delivery: an exploratory prospective cohort study.

Journal Article Can J Anaesth · December 2023 PURPOSE: Severe acute pain after Cesarean delivery increases the risk of developing persistent pain (~20% incidence) and postpartum depression (PPD) (~15% incidence). Both conditions contribute to maternal morbidity and mortality, yet early risk stratifica ... Full text Link to item Cite

Evaluating the Association Between Fibrinogen and Rotational Thromboelastometry and the Progression to Severe Obstetric Hemorrhage.

Journal Article Clin Appl Thromb Hemost · 2023 AIM: This study aims to investigate the ability of fibrinogen and rotational thromboelastometry (ROTEM) parameters measured at obstetric hemorrhage protocol initiation to predict severe hemorrhage. METHODS: In this retrospective study we included patients ... Full text Link to item Cite

Impact of a multimodal analgesic protocol modification on opioid consumption after cesarean delivery: a retrospective cohort study.

Journal Article J Matern Fetal Neonatal Med · December 2022 INTRODUCTION: Adequate pain control is a mainstay in enhanced recovery after surgery (ERAS) protocols. ERAS protocols are widely accepted in colorectal and gynecologic surgeries and are increasingly implemented in the obstetric setting. Multimodal analgesi ... Full text Link to item Cite

Anesthesia and Analgesia for the Obese Parturient.

Journal Article Adv Anesth · December 2022 Obesity is a worldwide epidemic and is associated with an increased risk of hypertension, diabetes, and obstructive sleep apnea. Pregnant patients with obesity experience a higher risk of maternal and fetal complications. Anesthesia also poses higher risks ... Full text Link to item Cite

Anesthetic management for robotic hysterectomy in obese women.

Journal Article Curr Opin Anaesthesiol · June 1, 2021 PURPOSE OF REVIEW: Obesity is a major health epidemic, with the prevalence reaching ∼40% in the United States in recent years. It is associated with increased risk of hypertension, diabetes, heart disease, stroke, obstructive sleep apnea (OSA), and gynecol ... Full text Link to item Cite

Tonic-clonic seizure after unrecognized unintentional dural puncture.

Journal Article Int J Obstet Anesth · November 2020 Patients who suffer an unintentional dural puncture have a high risk of developing a post-dural puncture headache. Other neurologic complications have been reported, but seizure is rarely seen. We present a case of a 21-year-old primigravida who experience ... Full text Link to item Cite

Intra-operative ketorolac 15 mg versus 30 mg for analgesia following cesarean delivery: a retrospective study.

Journal Article Int J Obstet Anesth · November 2020 BACKGROUND: Ketorolac is a nonsteroidal anti-inflammatory drug used as part of multimodal analgesia in women undergoing cesarean delivery. The lowest effective dose of ketorolac that best optimizes analgesia without increasing side effects is unclear. We p ... Full text Link to item Cite

Determinants of women's dissatisfaction with anaesthesia care in labour and delivery.

Journal Article Anaesthesia · September 2019 Patient-centred care and factors associated with patient satisfaction with anaesthesia have been widely studied. However, the most important considerations in the setting of obstetric anaesthesia are uncertain. Identification of, and addressing, factors th ... Full text Link to item Cite

Monitoring, prevention and treatment of side effects of long-acting neuraxial opioids for post-cesarean analgesia.

Journal Article Int J Obstet Anesth · August 2019 Long-acting neuraxial opioids such as morphine and diamorphine, administered via spinal or epidural routes, are staple components of a multimodal approach to postoperative analgesia following cesarean delivery. The widespread use of neuraxial opioids is du ... Full text Link to item Cite

Preoperative Fasting Times for Patients Undergoing Caesarean Delivery: Before and After a Patient Educational Initiative.

Journal Article Turk J Anaesthesiol Reanim · August 2019 OBJECTIVE: Prolonged preoperative fasting may lead to dehydration, hypoglycaemia, ketoacidosis and delayed recovery. We hypothesised that a patient educational initiative would decrease our preoperative fasting periods for elective caesarean delivery. METH ... Full text Link to item Cite

Transesophageal Echocardiographic Observation of Caval Thrombus Followed by Intraoperative Placement of Inferior Vena Cava Filter for Presumed Pulmonary Embolism During Cesarean Hysterectomy for Placenta Percreta: A Case Report.

Journal Article A A Pract · January 15, 2019 During a cesarean hysterectomy for placenta percreta, transesophageal echocardiography was used to monitor volume status and guide resuscitation. After delivery of the neonate but before massive surgical hemorrhage, a thrombus appeared in the inferior vena ... Full text Link to item Cite

Are Periventricular Lesions Specific for Multiple Sclerosis?

Journal Article J Neurol Neurophysiol · May 3, 2013 BACKGROUND: The presence of periventricular lesions (PVL) on MRI scans is part of the revised McDonald multiple sclerosis (MS) diagnostic criteria. However, PVL can be found in other neurological diseases including stroke and migraine. Migraine is highly p ... Full text Link to item Cite