The Pregnant Patient
Autor: | Debra D. Pulley, Heather McKenzie |
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Rok vydání: | 2016 |
Předmět: |
Pregnancy test
Fetus Pregnancy business.industry Uterus Apnea General Medicine Perioperative medicine.disease 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine medicine.anatomical_structure 030202 anesthesiology Anesthesia Anesthetic Medicine 030212 general & internal medicine medicine.symptom business Risk assessment medicine.drug |
Zdroj: | Anesthesiology Clinics. 34:213-222 |
ISSN: | 1932-2275 |
DOI: | 10.1016/j.anclin.2015.10.016 |
Popis: | Pathologic changes can occur during pregnancy requiring diagnostic tests and procedures. A preoperative assessment and perioperative planning are essential. Normal physiologic changes include increased cardiac output and decreased functional residual capacity. Perioperative care should follow American Congress of Obstetricians and Gynecologists guidelines. Anesthetic concerns include desaturation during periods of apnea, aspiration, difficult intubation, friable nasal tissue, decreased MAC, and hypotension and/or decreased uterine perfusion from the uterus. Anesthesia and medications must be individualized and given only as needed. Limit exposure to multiple drugs and monitor for fetal wellbeing and premature labor per consultation and guidelines. |
Databáze: | OpenAIRE |
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