What obstetricians should know about obstetric anesthesia during the COVID-19 pandemic

Ring, Laurence E.; Martinez, Rebecca; Bernstein, Kyra; Landau, Ruth

doi:10.1016/j.semperi.2020.151277

Cited by 9 publications

(4 citation statements)

References 29 publications

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“…A pandemia da COVID-19 provocou uma reavaliação entre os anestesiologistas obstétricos em relação à prestação dos cuidados anestésicos fundamentais na Unidade de Trabalho de Parto. As adaptações propostas envolvem uma explicação mais abrangente para desencorajar o uso da anestesia inalatória, levando em consideração o contexto atual da pandemia e os riscos potenciais associados a essa modalidade anestésica 6 .…”

Section: Em Casos Menos Invasivos Como Alguns Exames E Procedimentosunclassified

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Entendendo a anestesia inalatória na Cesária: revisão sistemática

Moura,

Barros,

Rêgo

et al. 2023

Braz. J. Implantol. Health Sci.

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Introdução: A anestesia inalatória na cesariana é uma abordagem anestésica comumente empregada para fornecer analgesia e anestesia durante o procedimento cirúrgico de cesariana. Este método utiliza agentes anestésicos administrados por inalação, geralmente através de uma máscara facial ou tubo endotraqueal, para induzir e manter o estado anestésico necessário. Metodologia: Uma revisão sistemática de literatura sobre "Entendendo a Anestesia Inalatória na Cesariana" foi elaborada com base em critérios rigorosos para garantir a seleção de estudos relevantes e de qualidade. A pesquisa foi delimitada pelos descritores Anesthesia, Inhalatio, Cesarean Section, Inhalation Anesthesia, com foco nos últimos 5 anos (2019 a 2023) e pesquisas realizadas no período de 20/04/2023 a 29/11 /2023. Resultado: Os procedimentos pré-parto exigiram um cuidado de atenção anestésica, sendo que a abordagem adotada pode variar significativamente de acordo com a natureza e a invasividade da intervenção planejada. Desde procedimentos mais simples até intervenções mais complexas, a escolha da anestesia desempenha um papel crucial no conforto do paciente e no sucesso técnico do procedimento. Conclusão: Os agentes anestésicos inalatórios mais comuns incluem o óxido nitroso, sevoflurano, desflurano e isoflurano. O óxido nitroso é frequentemente utilizado em combinação com outros agentes para fornecer analgesia suplementar. Esses agentes atuam no sistema nervoso central.

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Section: Em Casos Menos Invasivos Como Alguns Exames E Procedimentosunclassified

“…Um ponto essencial a ser destacado é a adaptabilidade dessa técnica às necessidades específicas da paciente e ao tipo de cesariana a ser realizada. A escolha entre a máscara facial e o tubo endotraqueal é uma consideração importante, dependendo das circunstâncias clínicas e das preferências do anestesiologista 4,5,6 .…”

Section: Introductionunclassified

Entendendo a anestesia inalatória na Cesária: revisão sistemática

Moura,

Barros,

Rêgo

et al. 2023

Braz. J. Implantol. Health Sci.

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“…Neonatal advantages include decreased respiratory depression risk, minimising in-utero exposure to inhalational drugs, and earlier breastfeeding beginning. In obstetric patients receiving VTE prophylaxis, the main danger of neuraxial anaesthesia is an increased risk of epidural hematoma and neurological damage (30). Spinal hematoma: prevalence, risk factors, and neurological outcome Bleeding within the vertebral canal, or spinal/epidural hematoma (SEH), is an extremely uncommon but possibly fatal consequence of neuraxial anaesthesia.…”

Section: Guidelines For the Diagnosis Management And Prevention Of Ve...mentioning

confidence: 99%

Anaesthetic Management of Thromboembolic Disorders in Obstetric Patients

Abd-alazeem,

Emara,

ELNabawy

2023

Benha Journal of Applied Sciences

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Background: Thromboembolic Disorders, especially venous (VTE), pose a serious risk to obstetric patients, especially during pregnancy and the postpartum period, because to variables such as the ageing of the mother population, the prevalence of obesity, and the growing frequency of caesarean sections. Mortality rates remain at around 1.5 per 100,000 births in the UK, despite the fact that the total risk of VTE during pregnancy is minimal (0.2%). These results highlight the crucial nature of this problem in obstetric care and the immediate need for improved prevention, diagnostic, and treatment techniques. Objective: This This systematic study intended to provide an actionable approach for identifying, diagnosing, and treating obstetric patients with thromboembolic diseases in anesthesiology. Conclusions: Effective Obstetric patients with thromboembolic diseases need a multimodal strategy to therapy, including close monitoring of coagulation status and the prompt use of anticoagulation for either prophylaxis or treatment. Neuraxial blockade should be conducted with caution, and understanding of the possible dangers connected with the insertion and removal of catheters is crucial. In addition, the proper length of medication and prompt postpartum care are key factors in lowering the incidence of VTE.

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“…However, epidural analgesia is preferred for both the COVID-19-confirmed and COVID-19-suspected mothers undergoing labor. On the plus side, epidural analgesia in the labor women with coronavirus provides an added benefit, as to avoid the conversion to general anesthesia, which is an AGP, there is an edge to shift the epidural analgesia to surgical analgesia (Ring et al 2020 ; Bauer et al 2020b ).…”

Section: Recommendations and Considerationsmentioning

confidence: 99%

Impact of COVID-19 on obstetric anesthesia: a systematic review

Nasr

2021

Ain-Shams J Anesthesiol

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With an increase in Coronavirus Disease 2019 (Covid-19) incidents around the world, it has become more important than ever to be prepared for the uncertain context of labor and delivery in obstetrics. As medical staff did not encounter such a situation previously, no prior knowledge and guidelines were present to assist them. During the care of obstetric women infected with COVID-19 as well as those who are suspected of COVID-19 infection, there are two objectives, the care of asymptomatic to severely sick pregnant and postpartum women and preventing exposure of medical professionals and others during childbirth hospitalization. The focus of this review is to provide anesthesiologists who are dealing with infected pregnant mothers with some facts or, as data is insufficient, expert opinion, with an emphasis on awareness and optimal medical obstetric anesthesia training. This review will provide possible recommendations for the obstetric anesthesiologists when treating infected obstetric women and these recommendations also help anesthesia providers to prepare themselves for future pandemics.

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What obstetricians should know about obstetric anesthesia during the COVID-19 pandemic

Cited by 9 publications

References 29 publications

Entendendo a anestesia inalatória na Cesária: revisão sistemática

Entendendo a anestesia inalatória na Cesária: revisão sistemática

Anaesthetic Management of Thromboembolic Disorders in Obstetric Patients

Impact of COVID-19 on obstetric anesthesia: a systematic review

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