Obstetric Anesthesia and Heart Disease: Practical Clinical Considerations

Overview

Journal Anesthesiology

Specialty Anesthesiology

Date 2021 May 28

PMID 34046669

Citations 17

Authors

Marie-Louise Meng

Katherine W Arendt

Affiliations

Soon will be listed here.

Abstract

Maternal morbidity and mortality as a result of cardiac disease is increasing in the United States. Safe management of pregnancy in women with heart disease requires appropriate anesthetic, cardiac, and obstetric care. The anesthesiologist should risk stratify pregnant patients based upon cardiac disease etiology and severity in order to determine the appropriate type of hospital and location within the hospital for delivery and anesthetic management. Increased intrapartum hemodynamic monitoring may be necessary and neuraxial analgesia and anesthesia is typically appropriate. The anesthesiologist should anticipate obstetric and cardiac emergencies such as emergency cesarean delivery, postpartum hemorrhage, and peripartum arrhythmias. This clinical review answers practical questions for the obstetric anesthesiologist and the nonsubspecialist anesthesiologist who regularly practices obstetric anesthesiology.

Citing Articles

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Maternal and Perinatal Outcomes in Pregnant Women with Heart Disease: A Case-Control Study.

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The Fontan Circulation in Pregnancy: Hemodynamic Challenges and Anesthetic Considerations.

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