Anesthetic Management of Pregnant Women with Stroke

Retrospective Evaluation of Anesthetic Management in Cesarean Sections of Pregnant Women with Placental Anomaly

Anesthesiology Research and Practice ◽

10.1155/2020/1358258 ◽

2020 ◽

Vol 2020 ◽

pp. 1-5

Author(s):

Aykut Urfalıoglu ◽

Gözen Öksüz ◽

Bora Bilal ◽

Seyma Teksen ◽

Feyza Calışır ◽

...

Keyword(s):

Cesarean Section ◽

Pregnant Women ◽

Placenta Previa ◽

Anesthetic Management ◽

Fresh Frozen Plasma ◽

University Hospital ◽

Mechanical Ventilation Duration ◽

Intraoperative Management ◽

Fresh Frozen ◽

Group A

Background. In this study, patients who underwent cesarean section and had placenta previa and placenta accreta were examined and compared in terms of haemorrhagic indicators and perioperative anesthetic management. Methods. A retrospective study was conducted in a university hospital in Kahramanmaras, Turkey. It included 95 pregnant women who had placental anomaly and underwent cesarean section between December 15, 2014, and February 15, 2016. Results. The pregnant women were divided into two groups: Group P (previa) (n = 67) and Group A (accreta) (n = 28). The types of anesthesia administered were general anesthesia (GA), which was administered to 50 patients (74.6%) in Group P and 27 patients (96.4%) in Group A, and spinal anesthesia (SA), which was administered to 17 patients (25.4%) in Group P and one patient (3.6%) in Group A.. The mean blood loss was 685.82 ± 262.82 in Group P and 1582.14 ± 790.71 in Group A, and the given amount of crystalloid was higher in Group A with an average of 1628.57 ± 728.19 ml. The use of erythrocyte and fresh frozen plasma solution was higher in Group A than Group P. Eleven patients were intubated and taken to the Intensive Care Unit (ICU) in Group A. Postoperative mechanical ventilation duration was significantly higher in Group A (75.14 ± 43.84 h) (p<0.001). ICU stay was longer in Group A with 2.80 ± 1.13 days. (p<0.001). Conclusion. The intraoperative management and the availability of postoperative ICU conditions are important in placental anomalies cases. The communication between operation team with regard to the development of a standard protocol for these cases will be of great benefit in reducing morbidity and mortality.

Cardiomyopathies in pregnant women: features of anesthetic management during labor

EMERGENCY MEDICINE ◽

10.22141/2224-0586.3.98.2019.165474 ◽

2019 ◽

Vol 0 (3.98) ◽

pp. 28-31

Author(s):

D.M. Stanin ◽

O.M. Klygunenko ◽

V.A. Sedinkin

Keyword(s):

Pregnant Women ◽

Anesthetic Management

Anesthetic management of obese and morbidly obese parturients

Anesthesia and Pain Medicine ◽

10.17085/apm.21090 ◽

2021 ◽

Vol 16 (4) ◽

pp. 313-321

Author(s):

Sang Tae Kim

Keyword(s):

Cesarean Section ◽

Pregnant Women ◽

Spinal Anesthesia ◽

Anesthetic Management ◽

Operation Time ◽

Rapid Onset ◽

The Body ◽

Morbidly Obese ◽

Single Shot ◽

Cesarean Sections

The prevalence of obese parturients is increasing worldwide. This review describes safe analgesic techniques for labor and anesthetic management during cesarean sections in obese parturients. The epidural analgesic technique is the best way to provide good pain relief during the labor phase and can be easily converted to a surgical anesthetic condition. However, the insertion of the epidural catheter in obese parturients is technically more difficult compared to that in non-obese parturients. The distance from the skin to the epidural space increases in proportion to the body mass index (BMI): 4.4 cm in mothers of normal weight and 7.5 cm in mothers with BMI 50 and above. Neuraxial blocks are the ideal anesthetic methods and gold standard techniques for cesarean section in pregnant women with obesity. Single-shot spinal anesthesia is the most common type of anesthesia used for cesarean sections. The advantage of single-shot spinal anesthesia is a dense-sufficient block of rapid onset. A combined spinal-epidural (CSE) anesthetic technique is also recommended as an attractive alternative method. In obese parturients, the operation time can be longer than expected, and therefore, the CSE technique provides the advantage of rapid onset and intense block for prolonged operation with postoperative pain control. The risk of postoperative complications is very high in obese parturients. Therefore, detailed communication of the parturient's medical condition and the details of surgery and anesthesia between the anesthesiologist and obstetrician is important prior to cesarean section in obese pregnant women.

Anesthetic management of pregnant women with sickle cell disease — effect on postnatal sickling complications

Canadian Journal of Anesthesia/Journal canadien d anesthésie ◽

10.1007/bf03017204 ◽

2008 ◽

Vol 55 (5) ◽

pp. 276-283 ◽

Cited By ~ 9

Author(s):

Julien Camous ◽

Aya N’da ◽

Maryse Etienne-Julan ◽

François Stéphan

Keyword(s):

Sickle Cell Disease ◽

Pregnant Women ◽

Sickle Cell ◽

Anesthetic Management ◽

Cell Disease ◽

Disease Effect

SUCCESSFUL ANESTHETIC MANAGEMENT IN CESAREAN SECTION FOR PREGNANT WOMEN WITH COVID 19

10.36106/paripex/8002578 ◽

2020 ◽

pp. 1-2

Author(s):

Sakthi Vignesh G

Keyword(s):

Pregnant Women ◽

Preterm Labour ◽

Anesthetic Management ◽

First Trimester ◽

Acute Respiratory Tract Infection ◽

The Body ◽

Premature Rupture Of Membranes ◽

Neuraxial Blockade ◽

Aerosol Generation ◽

Life Threatening

In India the management of a COVID-19 is more challenging among pregnant women, as the virus is extremely contagious and can cause life threatening severe acute respiratory tract infection in 5% patients and can spread to other mothers and health care personnel.1,2 There is increases risk of obstetric complication (Preterm labour, Premature rupture of membranes, Preeclampsia, caesarean section) among parturient covid 19 patients.3,4 It is noteworthy that the increase in the body temperature associated with COVID-19 (i.e., hyper-thermia) may lead to congenital anomalies if it occurs in the first trimester.5 This highlight the importance to establish covid 19 hospitals and operating rooms for parturient patients. In addition, there is no verified protocol for the anaesthetic aspect of providing care for pregnant women undergoing C-section. As per literature review, central neuraxial blockade is the preferred technique to reduce the aerosol generation in such circumstances.1,2,6 In this article we highlight the anaesthetic aspect of C-section performed for a pregnant women diagnosed with covid 19.

Anesthetic Management of Pregnant Women With Sickle Cell Disease—Effect on Postnatal Sickling Complications

Obstetric Anesthesia Digest ◽

10.1097/01.aoa.0000337930.26029.41 ◽

2008 ◽

Vol 28 (4) ◽

pp. 230

Author(s):

J. Camous ◽

A. Nʼda ◽

M. Etienne-Julan ◽

F. Stéphan

Keyword(s):

Sickle Cell Disease ◽

Pregnant Women ◽

Sickle Cell ◽

Anesthetic Management ◽

Cell Disease ◽

Disease Effect

Anesthetic mAnAgement A t pRegnAnt women with subARAchnoid hemoRRhAges

The Bulletin of Contemporary Clinical Medicine ◽

10.20969/vskm.2013.6(5).85-90 ◽

2013 ◽

Vol 6 (5) ◽

pp. 85-90

Author(s):

AynAgul Zh. BAyAliyevА ◽

◽

RomAn yA. ShpAneR ◽

elinА i. BogdAnovА ◽

iRinA R. gAneyevA ◽

...

Keyword(s):

Pregnant Women ◽

Anesthetic Management ◽

Subarachnoid Hemorrhages

Atrio-Ventricular Septal Defect in Pregnant Women, How to Deal with It : A Case Study

ACI (Acta Cardiologia Indonesiana) ◽

10.22146/aci.33576 ◽

2018 ◽

Vol 3 (2) ◽

pp. 100

Author(s):

Devie Caroline ◽

Moh. Yogiarto

Keyword(s):

Ventricular Septal Defect ◽

General Anesthesia ◽

Pregnant Women ◽

Septal Defect ◽

Anesthetic Management ◽

Mode Of Delivery ◽

Fluid Management ◽

Pulmonary Artery Hypertension ◽

Team Approach ◽

Partial Type

Pregnancy is not always well tolerated in women with congenital heart disease (CHD) such as atrio-ventricular septal defect (AVSD), predominantly due to heart failure deterioration and increasing pulmonary hypertension (PH). Managements of those patients are challenging, especially during third trimester and after delivery care. Decision about time of termination, mode of delivery and anesthetic management are also debatable. In this article we report two similarcases of pregnant women with AVSD and severe PH. The frst patient was 27 years old, 28-29 weeks pregnant came with shortness of breath. She had history of miscarriage once. Based on her transthoracal echocardiography, she was diagnosed with AVSD partial type (primum ASD) with severe PH and then treated with intravenous furosemide, oral beraprost and oral sildenafl. The second patient was 27 years old 30-31 weeks pregnant with shortness of breathand appeared cyanotic. She delivered her frst child spontaneously without any symptoms. Based on her transthoracal echocardiography she was diagnosed with AVSD transitional type (large primum ASD with small inlet VSD) and Eisenmenger syndrome. She was treated with intravenous furosemide and oral beraprost. Those two patients underwent planned C-section under general anesthesia, both babies were survived but the patient did not survived severaldays after the procedure due to PH crisis. Until now, management PH associated with CHD in pregnant women is complex. Fluid management and pulmonary artery hypertension (PAH)- targeted therapies are important. Mode of delivery on this cases is also remain debated. Some studies stated planned C-section might be a better choice and combination epidural and lowdose spinal anesthesia might be better than general anesthesia. At the end, when a woman with CHD and PH chooses to continue pregnancy, multidisciplinary team approach is crucial to achieve good outcomes.