Anesthetic Management of Nonobstetric Surgery during Pregnancy

Toledano, Roulhac D.; Madden, Hannah E.; Leffert, Lisa

doi:10.1007/s40140-019-00314-3

Cited by 3 publications

(7 citation statements)

References 36 publications

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“…The upward displacement of the diaphragm due to uterine growth results in decreases in expiratory reserve volume and residual volume. Consequently, functional residual capacity significantly decreases after 5 months of gestation 14 .…”

Section: Discussionmentioning

confidence: 99%

“…Secondary changes occur due to the mechanical effects of the enlarged pregnant uterus 3 . Understanding the adaptations of the central nervous system (CNS), respiratory, gastrointestinal, cardiovascular, and haematologic systems during pregnancy can help in selecting the most appropriate anaesthetic technique and optimize maternal hemodynamics intraoperatively 14 (Table 1 ). Common signs and symptoms experienced during pregnancy, including tachypnea, dyspnoea, heart murmurs, and benign electrocardiogram changes, can potentially complicate the anaesthetic management of patients 6 .…”

Section: Discussionmentioning

confidence: 99%

“…Pregnant patients undergo changes in pain perception and pain threshold, exhibit decreased anaesthetic requirements, and rely more on the sympathetic nervous system (SNS). The minimum alveolar concentration (MAC) for volatile agents decreases by 28% during 8–12 weeks of gestation, reaches 40% of non-pregnant levels as pregnancy advances, and returns to baseline by post-partum day 3 14 .…”

Section: Discussionmentioning

confidence: 99%

“…Despite meticulous attention to maternal and foetal well-being, women exposed to surgery and anaesthesia during pregnancy may still experience major complications 14 . These can include pneumonia, sepsis, venous thromboembolism (VTE), and even death, as well as foetal loss, preterm labour, and the birth of low birth-weight infants.…”

Section: Discussionmentioning

confidence: 99%

“…During organogenesis (from day 15 to 56), there are structural abnormalities, and then after this period, functional abnormalities occur depending on the particulars of the case 18 . Teratogenesis can manifest as structural abnormalities (e.g., growth restriction or congenital malformation) or as functional behavioural or cognitive delays 14 .…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Perioperative management of surgical procedure during pregnancy: a systematic review

Zeleke,

Chekol,

Kasahun

et al. 2024

Annals of Medicine &Amp; Surgery

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Background: Approximately 1-2% of pregnant women undergo non-obstetric surgery under anesthesia during their pregnancy. This review specifically targets anesthesia management for pregnant women undergoing non-obstetric surgery in resource-limited settings. Methods: Following the delineation of primary questions, scope, and inclusion criteria, a comprehensive search strategy utilizing advanced techniques was implemented across electronic sources, databases, and websites to identify relevant articles. A rigorous screening process was applied during literature evaluation. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement guided the conduct of this review, ensuring adherence to standardized reporting practices. Results: A total of 240 articles were initially identified from databases and websites. After screening titles and abstracts, 85 papers were excluded, and an additional 43 were removed due to duplication. Subsequently, 68 items were subjected to eligibility screening. Finally, 30 papers that specifically addressed anesthetic considerations for pregnant women undergoing non-obstetric operations were reviewed. Conclusion: Thorough preoperative evaluation is essential for all patients, with particular attention to modifications in anesthetic management to accommodate physiological changes during pregnancy. Urgent and emergent surgeries should proceed promptly during pregnancy to optimize outcomes for both the mother and fetus. Maintaining uteroplacental perfusion generally involves avoiding maternal hypoxemia, hypotension, hyper- and hypocapnia, temperature extremes, and stress. When deemed safe, regional anesthesia may offer favorable outcomes for both the mother and fetus.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Perioperative management of surgical procedure during pregnancy: a systematic review

Zeleke,

Chekol,

Kasahun

et al. 2024

Annals of Medicine &Amp; Surgery

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Review and Management of Complex Regional Pain Syndrome in Pregnancy

Jozwiak

Caballero

2021

Complex Regional Pain Syndrome

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Middle-East obgyn graduate education (MOGGE) foundation practice guidelines: diagnostic approach to pregnancy of unknown location: practice guideline no. 03-O-21

Shazly

Radwan

Abdo

et al. 2022

Middle East Fertil Soc J

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Background Pregnancy of unknown location (PUL) is a term used to describe failure of visualization of intrauterine or extrauterine gestational sac in a woman with a positive pregnancy test. Body of the abstract Ectopic pregnancy (EP) accounts for 1–2 % of all pregnancies. EP contributes to maternal mortality of a known cause by 4% in developed countries. However, case fatality rate may be 10 times higher in low-resource countries. This may be attributed to delayed diagnosis and lack of resources. PUL is a temporary term that may eventually lead to diagnosis of viable intrauterine pregnancy, pregnancy loss, or more seriously, EP. Conclusion This guideline appraises current evidence on assessment of PUL and early diagnosis of EP particularly in low-resource settings.

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Anesthetic Management of Nonobstetric Surgery during Pregnancy

Cited by 3 publications

References 36 publications

Perioperative management of surgical procedure during pregnancy: a systematic review

Perioperative management of surgical procedure during pregnancy: a systematic review

Review and Management of Complex Regional Pain Syndrome in Pregnancy

Middle-East obgyn graduate education (MOGGE) foundation practice guidelines: diagnostic approach to pregnancy of unknown location: practice guideline no. 03-O-21

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