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Anaesthesia for non-obstetric surgery in obstetric patients.
Indian J Anaesth. 2018 Sep; 62(9):710-716.IJ

Abstract

Anaesthesia for pregnant patients presenting for non-obstetric surgery needs a thorough understanding of the physiological changes and altered pharmacokinetics of pregnancy. Considering the effects of surgery and anaesthesia on the foetus, only essential and emergency surgeries are performed during pregnancy. Surgical procedures in second trimester have the advantage of better foetal outcome. The primary concerns of maternal and foetal safety are achieved by a focused multidisciplinary team-based approach with respect to the surgical condition. Meticulous attention to preoperative patient counselling, airway management, haemodynamic stability, and thromboprophylaxis are the key factors in anaesthetic management. Choice of anaesthesia or anaesthetic drugs has minimal impact on the foetus provided utero-placental perfusion and uterine relaxation are maintained. Foetal monitoring when feasible and when done by a trained person enables to diagnose and treat the factors responsible for foetal heart rate variability. Anaesthetic technique needs to be modified according to the type of surgery.

Authors+Show Affiliations

Janani Anaesthesia and Critical Care Services, Shimoga, Karnataka, India.Geisinger Medical Center, Danville, PA, USA.Janani Anaesthesia and Critical Care Services, Shimoga, Karnataka, India.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

30237597

Citation

Ravindra, G L., et al. "Anaesthesia for Non-obstetric Surgery in Obstetric Patients." Indian Journal of Anaesthesia, vol. 62, no. 9, 2018, pp. 710-716.
Ravindra GL, Madamangalam AS, Seetharamaiah S. Anaesthesia for non-obstetric surgery in obstetric patients. Indian journal of anaesthesia. 2018;62(9):710-716.
Ravindra, G. L., Madamangalam, A. S., & Seetharamaiah, S. (2018). Anaesthesia for non-obstetric surgery in obstetric patients. Indian Journal of Anaesthesia, 62(9), 710-716. https://doi.org/10.4103/ija.IJA_463_18
Ravindra GL, Madamangalam AS, Seetharamaiah S. Anaesthesia for Non-obstetric Surgery in Obstetric Patients. Indian journal of anaesthesia. 2018;62(9):710-716. PubMed PMID: 30237597.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anaesthesia for non-obstetric surgery in obstetric patients. AU - Ravindra,G L, AU - Madamangalam,Abhinava S, AU - Seetharamaiah,Shwetha, PY - 2018/9/22/entrez PY - 2018/9/22/pubmed PY - 2018/9/22/medline KW - Foetal asphyxia KW - non-obstetric surgery KW - preterm labour KW - teratogenicity SP - 710 EP - 716 JF - Indian journal of anaesthesia VL - 62 IS - 9 N2 - Anaesthesia for pregnant patients presenting for non-obstetric surgery needs a thorough understanding of the physiological changes and altered pharmacokinetics of pregnancy. Considering the effects of surgery and anaesthesia on the foetus, only essential and emergency surgeries are performed during pregnancy. Surgical procedures in second trimester have the advantage of better foetal outcome. The primary concerns of maternal and foetal safety are achieved by a focused multidisciplinary team-based approach with respect to the surgical condition. Meticulous attention to preoperative patient counselling, airway management, haemodynamic stability, and thromboprophylaxis are the key factors in anaesthetic management. Choice of anaesthesia or anaesthetic drugs has minimal impact on the foetus provided utero-placental perfusion and uterine relaxation are maintained. Foetal monitoring when feasible and when done by a trained person enables to diagnose and treat the factors responsible for foetal heart rate variability. Anaesthetic technique needs to be modified according to the type of surgery. SN - 0019-5049 UR - https://www.unboundmedicine.com/medline/citation/30237597/Anaesthesia_for_non_obstetric_surgery_in_obstetric_patients_ L2 - http://www.ijaweb.org/article.asp?issn=0019-5049;year=2018;volume=62;issue=9;spage=710;epage=716;aulast=Ravindra DB - PRIME DP - Unbound Medicine ER -
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