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
ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 5
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
ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 4
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
ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 3
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
ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 2
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
ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART I
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
Newer Supraglottic Airway Devices
Introduction: The classic laryngeal mask airway was invented by Dr Archie Brain in the UK in 19811. It became commercially available in the United Kingdom in 1988 and in the … Continue reading Newer Supraglottic Airway Devices
ANESTHESIA FOR PATIENTS WITH RENAL DISEASE
I. ACUTE KIDNEY INJURY 1. What are the significant risk factors of perioperative renal failure? Acute kidney injury (AKI) occurs in about 1% of patients undergoing general surgery procedures. An … Continue reading ANESTHESIA FOR PATIENTS WITH RENAL DISEASE