ANESTHESIA FOR CESAREAN DELIVERY FOR CARDIAC PATIENTS: • Patients with mWHO class I or II cardiac disease typically tolerate a traditional intrathecal dose of local anesthesia (eg, hyperbaric bupivacaine 10–15 … Continue reading ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 6
5. MATERNAL ARRHYTHMIAS DURING PREGNANCY: Management of arrhythmias during pregnancy is similar to that in the non-pregnant patient. Congenital heart block and bradyarythmias If congenital heart block is recognized in … Continue reading ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 5
3. PRIMARY PULMONARY HYPERTENSION: Anaesthetic management is similar to that of the Eisenmenger syndrome. Elective caesarean section is the preferred method of delivery. Both regional and general anaesthesia can be … Continue reading ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 4
iii) AORTIC STENOSIS: Anaesthetic management in AS is to avoid tachycardia, and bradycardia, maintain intravascular volume and venous return, avoid aortocaval compression, and myocardial depression, maintain a normal heart rate … Continue reading ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 3
2. VALVULAR HEART DISEASE i) MITRAL STENOSIS: Anaesthetic considerations are to maintain a slow heart rate, venous return and SVR, avoid aorto-caval compression, treat atrial fibrillation (AF) aggressively, try and … Continue reading ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 2
1. CONGENITAL HEART DISEASE (CHD) Atrial septal / ventricular septal defects in pregnancy are often well tolerated during pregnancy. When anaesthetizing patients with CHD, using either a regional technique or … Continue reading ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART I
The unintentional IV injection of local anesthetic is one of the most serious potential complications of epidural anesthesia in pregnant women. The epinephrine-containing test dose is the most commonly used … Continue reading The Epidural Test Dose in Obstetric Patients – Purposeless Today?
1. Anesthetic considerations: ➢ With the increase in transmitral gradient associated with clinically significant mitral stenosis, more time for diastolic filling is necessary to ensure adequate preload. Whereas heart rate … Continue reading MITRAL STENOSIS AND PREGNANCY – Ten Rules for Anaesthetic Consideration
1. It involves thorough pre-operative assessment, evaluation of cause, type and severity of anemia and adequacy of compensatory mechanism. 2. Pre-anesthetic (PAC) Checkup: tiredness, easy fatigability, breathlessness, dyspnea, palpitations, should … Continue reading ANAEMIA AND PREGNANCY – Ten Rules For Anaesthetic Consideration
Introduction : People with a low platelet count (thrombocytopenia) often require lumbar punctures or an epidural anaesthetic. Lumbar punctures can be diagnostic (haematological malignancies, epidural haematoma, meningitis) or therapeutic (spinal … Continue reading How Safe Is To Give Neuraxial Blocks In Patients With Thrombocytopenia
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