Anesthetic Considerations in the Care of the Parturient with Obesity
| Autor: | Vilma E. Ortiz, Jaime L. Daly |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Pregnancy business.industry 030208 emergency & critical care medicine Maternal morbidity medicine.disease Obesity 03 medical and health sciences Catheter 0302 clinical medicine Anesthesiology and Pain Medicine 030202 anesthesiology Anesthesiology Anesthetic medicine Endocrine system Intensive care medicine business Patient education medicine.drug |
| Zdroj: | Current Anesthesiology Reports. 9:76-84 |
| ISSN: | 2167-6275 |
| DOI: | 10.1007/s40140-019-00312-5 |
| Popis: | The goal of this review is to summarize recent findings on the physiologic alterations posed by maternal obesity and implications for the anesthetic care of mother and infant. Obesity is rising nationally and globally. Many studies show associations between excess weight during pregnancy with increased morbidity and mortality. Parturients with obesity are at a higher risk of endocrine, cardiac, pulmonary, and post-operative complications. A neuraxial catheter is recommended given the higher risk of an operative delivery. Consultation by an obstetric anesthesiologist is helpful for patient education and planning. Maternal mortality is the highest in the USA compared to other high-income countries. Understanding the association between obesity and maternal morbidity and mortality is critically important. The obstetric anesthesiologist can improve care by understanding not only the patient's medical needs, but also anticipating complications and having appropriate equipment available. Multi-disciplinary care optimizes outcomes. |
| Databáze: | OpenAIRE |
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