Anesthetic and Analgesic Considerations in Pregnant Patients With Cardiac Disease
Afif M. Kraitema, Kaitlyn A Brennanb
- aAnesthesiology, Division of Obstetric Anesthesiology
- bAnesthesiology, Divisions of Critical Care Medicine and Obstetric Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee
Papers open inside SciRah from the original publisher or repository; SciRah never hosts them.
Abstract
Successful anesthetic management of pregnant patients with cardiac disease requires an understanding of both maternal physiology and alterations induced by labor analgesia and anesthesia for cesarean delivery. This review provides an overview of physiological changes of pregnancy pertinent to obstetric anesthesiology in regard to patients with cardiac disease, including modifications to labor analgesic techniques, indications for additional monitoring, and both regional anesthetic and general anesthetic management of complex cardiac patients for cesarean delivery. The importance of a comprehensive pregnancy heart team cannot be overstated, especially when managing patients with very high-risk cardiac comorbidities.
TL;DRAn overview of physiological changes of pregnancy pertinent to obstetric anesthesiology in regard to patients with cardiac disease is provided, including modifications to labor analgesic techniques, indications for additional monitoring, and both regional anesthetic and general anesthetic management of complex cardiac patients for cesarean delivery. (Semantic Scholar)