Non-obstetric Surgery During Pregnancy

Autor: Jessica L. Galey, Shobana Bharadwaj, Arunthevaraja Karuppiah
Rok vydání: 2021
Předmět:
Zdroj: Obstetric Anesthesia Practice
DOI: 10.1093/med/9780190099824.003.0025
Popis: Caring for the pregnant patient presenting for non-obstetric surgery presents the anesthesiologist with a unique challenge, as the needs of both the pregnant woman and her fetus must be considered within the context of the surgical procedure being performed. A pregnant woman should never be denied medically necessary surgery or have that surgery delayed regardless of trimester because this can adversely affect the pregnant woman and her fetus. The main goals in the anesthetic management of these patients are to apply maternal physiologic changes, avoid uteroplacental hypoperfusion and/or fetal hypoxemia, avoid teratogenic agents, and prevent preterm labor. A multidisciplinary approach involving surgical, anesthesiology, and obstetric teams is essential for decisions on the timing of the procedure and intraoperative fetal and uterine monitoring. Fetal heart rate monitoring may assist in maternal positioning and cardiorespiratory management and may influence a decision to deliver the fetus. No currently used anesthetic agents have been shown to have any teratogenic effects in humans at any gestational age when using standard concentrations.
Databáze: OpenAIRE
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