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Anaesthesia for non-obstetric surgery during pregnancy.
Indian J Anaesth. 2016 Apr; 60(4):234-41.IJ

Abstract

Non-obstetric surgery during pregnancy posts additional concerns to anaesthesiologists. The chief goals are to preserve maternal safety, maintain the pregnant state and achieve the best possible foetal outcome. The choice of anaesthetic technique and the selection of appropriate anaesthetic drugs should be guided by indication for surgery, nature, and site of the surgical procedure. Anaesthesiologist must consider the effects of the disease process itself and inhibit uterine contractions and avoid preterm labour and delivery. Foetal safety requires avoidance of potentially dangerous drugs and assurance of continuation of adequate uteroplacental perfusion. Until date, no anaesthetic drug has been shown to be clearly dangerous to the human foetus. The decision on proceeding with surgery should be made by multidisciplinary team involving anaesthesiologists, obstetricians, surgeons and perinatologists. This review describes the general anaesthetic principles, concerns regarding anaesthetic drugs and outlines some specific conditions of non-obstetric surgeries.

Authors+Show Affiliations

Department of Anaesthesia, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India.Department of Anaesthesia, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

27141105

Citation

Upadya, Madhusudan, and P J. Saneesh. "Anaesthesia for Non-obstetric Surgery During Pregnancy." Indian Journal of Anaesthesia, vol. 60, no. 4, 2016, pp. 234-41.
Upadya M, Saneesh PJ. Anaesthesia for non-obstetric surgery during pregnancy. Indian journal of anaesthesia. 2016;60(4):234-41.
Upadya, M., & Saneesh, P. J. (2016). Anaesthesia for non-obstetric surgery during pregnancy. Indian Journal of Anaesthesia, 60(4), 234-41. https://doi.org/10.4103/0019-5049.179445
Upadya M, Saneesh PJ. Anaesthesia for Non-obstetric Surgery During Pregnancy. Indian journal of anaesthesia. 2016;60(4):234-41. PubMed PMID: 27141105.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anaesthesia for non-obstetric surgery during pregnancy. AU - Upadya,Madhusudan, AU - Saneesh,P J, PY - 2016/5/4/entrez PY - 2016/5/4/pubmed PY - 2016/5/4/medline KW - Anaesthesia KW - foetal development KW - non-obstetric surgery KW - pregnancy KW - teratogenicity SP - 234 EP - 41 JF - Indian journal of anaesthesia VL - 60 IS - 4 N2 - Non-obstetric surgery during pregnancy posts additional concerns to anaesthesiologists. The chief goals are to preserve maternal safety, maintain the pregnant state and achieve the best possible foetal outcome. The choice of anaesthetic technique and the selection of appropriate anaesthetic drugs should be guided by indication for surgery, nature, and site of the surgical procedure. Anaesthesiologist must consider the effects of the disease process itself and inhibit uterine contractions and avoid preterm labour and delivery. Foetal safety requires avoidance of potentially dangerous drugs and assurance of continuation of adequate uteroplacental perfusion. Until date, no anaesthetic drug has been shown to be clearly dangerous to the human foetus. The decision on proceeding with surgery should be made by multidisciplinary team involving anaesthesiologists, obstetricians, surgeons and perinatologists. This review describes the general anaesthetic principles, concerns regarding anaesthetic drugs and outlines some specific conditions of non-obstetric surgeries. SN - 0019-5049 UR - https://www.unboundmedicine.com/medline/citation/27141105/Anaesthesia_for_non_obstetric_surgery_during_pregnancy_ L2 - http://www.ijaweb.org/article.asp?issn=0019-5049;year=2016;volume=60;issue=4;spage=234;epage=241;aulast=Upadya DB - PRIME DP - Unbound Medicine ER -
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