Anesthetic Management of Cesarean Section in a Patient with Idiopathic Hypertrophic Subaortic Stenosis

Boccio, Remigo V.; Chung, James H.; Harrison, D. M.

doi:10.1097/00000542-198612000-00017

Cited by 21 publications

(13 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…GA, for cesarean section, and lumbar epidural analgesia, for vaginal delivery, have both been associated with postpartum pulmonary edema in parturients with IHSS who did not receive invasive hemodynamic monitoring. [97] These patients should be closely monitored with a PA catheter for worsening outflow obstruction resulting from the diuresis that occurs in the first 48 h postpartum.…”

Section: Cardiomyopathiesmentioning

confidence: 99%

Anesthesia in pregnancy with heart disease

Luthra

Bajaj²,

Jafra

et al. 2017

Saudi J Anaesth

View full text Add to dashboard Cite

Management of pregnant women with heart disease remains challenging due to the advancement of innovations in cardiac surgery and correction of complex cardiac anomalies, and more recently, with the successful performance of heart transplants, cardiac diseases are not only likely to coexist with pregnancy, but will also increase in frequency over the years to come. In developing countries with a higher prevalence of rheumatic fever, cardiac disease may complicate as many as 5.9% of pregnancies with a high incidence of maternal death. Since many of these deaths occur during or immediately following parturition, heart disease is of special importance to the anesthesiologist. This importance arises from the fact that drugs used for preventing or relieving pain during labor and delivery exert a major influence – for better or for worse – on the prognosis of the mother and newborn. Properly administered anesthesia and analgesia can contribute to the reduction of maternal and neonatal mortality and morbidity.

show abstract

Section: Cardiomyopathiesmentioning

confidence: 99%

Anesthesia in pregnancy with heart disease

Luthra

Bajaj²,

Jafra

et al. 2017

Saudi J Anaesth

View full text Add to dashboard Cite

show abstract

“…Women of child bearing age who are symptomatic or have a history of syncope or pre-syncope should be considered candidates for insertion of a pacemaker or an automatic implantable cardioverter defibrillator (AICD) before conception. [53] The goals of anesthetic management are to: [22,[54][55][56] • maintain intravascular volume and venous return, avoid aorto-caval compression • maintain adequate SVR • maintain slow heart rate and sinus rhythm, aggressively treat atrial fibrillation and other tachyarrhythmias • prevent increase in myocardial contractility An elective caesarean delivery may be performed safely with epidural anesthesia. [54] HOCM represents a relative contraindication to single shot spinal anesthesia for caesarean section as the rapid onset sympathectomy is hazardous.…”

Section: Anesthetic Goals • Avoid General Anesthesia If Possible • Slmentioning

confidence: 99%

Pregnancy and non-valvular heart disease - Anesthetic considerations

et al. 2010

View full text Add to dashboard Cite

Non-valvular heart disease is an important cause of cardiac disease in pregnancy and presents a unique challenge to the anesthesiologist during labor and delivery. A keen understanding of the underlying pathophysiology, in addition to the altered physiology of pregnancy, is the key to managing such patients. Disease-specific goals of management may help preserve the hemodynamic and ventilatory parameters within an acceptable limit and a successful conduct of labor and postpartum period.

show abstract

“…General anesthesia is preferred by many, although the ideal technique is yet to be established and experience is limited. 51 Although the use of volatile anesthetic agents is advantageous because they reduce myocardial contractility, they also decrease uterine contractility and SVR. Modest doses should have a minimal effect on both.…”

Section: Idiopathic Hypertrophic Subaortic Stenosismentioning

confidence: 99%

Anesthesia for the parturient with cardiovascular disease

Kuczkowski

2003

Southern African Journal of Anaesthesia and Analgesia

View full text Add to dashboard Cite

Anesthetic Management of Cesarean Section in a Patient with Idiopathic Hypertrophic Subaortic Stenosis

Cited by 21 publications

References 0 publications

Anesthesia in pregnancy with heart disease

Anesthesia in pregnancy with heart disease

Pregnancy and non-valvular heart disease - Anesthetic considerations

Anesthesia for the parturient with cardiovascular disease

Contact Info

Product

Resources

About