Propofol relieves post-extubation laryngospasm in obstetric anesthesia

Levy, David M.

doi:10.1016/j.ijoa.2004.10.004

Cited by 1 publication

(1 citation statement)

References 5 publications

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“…Endoscopy societies have recommended that this agent be reserved for difficultto-sedate and other complicated clinical situations in a highly monitored environment (25). It is considered relatively safe for use in pregnancy, although little data are available regarding its use in the first trimester (6,26,27).…”

Section: Propofol (Category B)mentioning

confidence: 99%

Gastrointestinal Endoscopy in Pregnant and Lactating Women: Emerging Standard of Care to Guide Decision-Making

Gilinsky

Muthunayagam²

2006

Obstetrical & Gynecological Survey

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Endoscopic procedures generally are considered to be low-risk modalities, being performed on an on-demand basis in many ambulatory endoscopy centers and hospitals. However, the safety and efficacy of gastrointestinal endoscopy in pregnancy has not been well studied. In pregnancy, the risks to the fetus and mother are numerous and the magnitude of this risk will differ depending on trimester, the disease process being addressed, the underlying health and status of the maternofetal unit, and the nature of the endoscopic intervention being contemplated. Given the difficulties in performing prospective studies in the pregnant patient, these risks have not been well-quantified. Decision-making in practice is at times highly individualized. The obstetrician and endoscopist may therefore need to rely on prudent practice based on personal experience in conjunction with recognized underlying basic principles and consensus guidelines, rather than hard scientific data, to guide decision-making and advising patients. The purpose of this review is to make those caring for pregnant patients aware of the clinical considerations necessary to ensure a successful outcome and to provide guidance with respect to what is now considered to be the standard of care when managing pregnant and lactating patients in whom an endoscopic procedure is being contemplated.

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Section: Propofol (Category B)mentioning

confidence: 99%