Obstetric Anesthesia and Uncommon Disorders (2nd edition)
This chapter will outline the physiological changes, hemodynamic goals,management, and anesthetic optionswith regards to patients with acquired or congenital structural heart disease during pregnancy, labor, and delivery. There is no consensus as to the optimal anesthetic technique for the condi...
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| Những tác giả chính: | , , |
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| Định dạng: | Sách |
| Ngôn ngữ: | English |
| Được phát hành: |
Cambridge University Press
2013
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| Truy cập trực tuyến: | http://scholar.dlu.edu.vn/thuvienso/handle/DLU123456789/35633 |
| Các nhãn: |
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| Thư viện lưu trữ: | Thư viện Trường Đại học Đà Lạt |
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| Tóm tắt: | This chapter will outline the physiological changes, hemodynamic
goals,management, and anesthetic optionswith regards to patients
with acquired or congenital structural heart disease during pregnancy,
labor, and delivery. There is no consensus as to the optimal
anesthetic technique for the conditions being discussed. General
and regional anesthesia can have significant cardiovascular effects
on a parturient with cardiac disease. In addition, many pharmacological
agents commonly used in anesthetic and obstetric practice
can have adverse hemodynamic effects (Table 1.1).
Due to the nature and the rarity of the cardiac diseases discussed,
there is a lack of randomized controlled studies to guide our
practice. As a result, case reports and expert opinion will form the
basis of discussing the anesthetic techniques.However,management
options and anesthetic techniques must be individualized and
based on the prevailinghemodynamic condition and obstetric needs. |
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