ANESTHETIC CHALLENGES OF OBESE PARTURIENTS
Journal Title: INTERNATIONAL JOURNAL OF PURE MEDICAL RESEARCH - Year 2017, Vol 2, Issue 5
Abstract
Obese pregnant women have been reported to have increased risks of maternal, fetal, and neonatal mortality and morbidity compared with non-obese pregnant women. For example, the incidence of cesarean section is higher among obese than non-obese parturients. Moreover, caring for obese parturients is very challenging for all health team members, due to large body size, physiological changes of pregnancy, and associated medical comorbidities, including cardiovascular disease, fatty liver disease, pulmonary hypertension, depression, obstructive sleep apnea and degenerative joint disease. Therefore, early consultation with anesthesiologists is mandatory for obese parturients, allowing sufficient time for anesthesia planning and optimization. Neuraxial analgesia, however, should be started as soon as possible during labor, minimizing the need for general anesthesia. For caesarian delivery, the continuous catheter technique is better than the single shot spinal technique. It is also important not to jeopardize the mother’s life to save a compromised fetus. Thrombo-prophylaxis is essential due to an increased risk of thromboembolic events. Communication with the obstetric team is important for good care, and adequate postoperative pain control is essential for early mobilization.
Authors and Affiliations
Eynas O. Abdalla, Ismat ELsaigh, Santhosh Gopalakrishnan
Keywords
Related Articles
- EP ID EP597509
- DOI -
- Views 54
- Downloads 0
VALIDATION OF URINARY NEUTROPHIL GELATINASE-ASSOCIATED LIPOCALIN, INTERLEUKIN-18 AND KIDNEY INJURY MOLOCULE- 1 IN THE DIAGNOSIS OF HEPATORENAL SYNDROME IN EGYPTIAN PATIENTS WITH HEPATITIS C VIRUSRELATED LIVER CIRRHOSIS
Hepatorenal syndrome (HRS) is a functional and potentially reversible form of AKI that occurs in cirrhosis patients with ascites caused by splanchnic vasodilatation , cardiovascular dysfunction and renal hypo-perfusion;...
VALUE OF URINARY KIDNEY INJURY MOLECULE-1 LEVEL AS A MARKER OF NEPHROPATHY IN HYPERTENSIVE PATIENTS
Kidney injury molecule-1(KIM-1) is a type I membrane protein, comprising an extracellular portion and a cytoplasmic portion which is expressed at very low level in normal kidney. The extracellular portion can cleave and...
EFFECT OF TIME ON DISINFECTION OF GUTA-PERCHA CONES WITH SODIUM HYPOCHLORITE: ORIGINAL STUDY
The success of endodontic treatment is to eliminate as much bacteria as possible, reaching a point where the organism is able to remain free of the infectious process. Guta-percha cones are one of the most biocompatible...
STUDY OF SOME BIOCHEMICAL VARIABLES OF CARDIOVASCULAR PATIENTS AND EFFECT OF SOME PRODRUGS ON THE ACTIVITY OF SOME ENZYMES IN VIVO AND IN VITRO
Several studies have shown the risk factors associated cardiovascular disease (CVD). This research studies some biochemical variables of Cardiovascular patients and effect of some prodrugs on the activity of some enzymes...
ANTI-NMDA RECEPTOR ENCEPHALITIS: 2 CASE REPORTS ASSOCIATED WITH OVARIAN TERATOMA AND A LITERATURE REVIEW
Receptor N-methyl-D-aspartate (NMDA) antibodies have been associated with a paraneoplastic syndrome associated with ovarian tumors (teratomas) mainly in young women. Its typical clinical picture is presented as neuropsyc...