Hdl Handle:
http://hdl.handle.net/10147/218992
Title:
Anesthesia considerations in the obese gravida.
Authors:
Tan, Terry; Sia, Alex T
Affiliation:
Department of Perioperative Medicine and Anaesthesia, Coombe Women and Infants University Hospital, Dublin, Ireland.
Citation:
Anesthesia considerations in the obese gravida. 2011, 35 (6):350-5 Semin. Perinatol.
Journal:
Seminars in perinatology
Issue Date:
Dec-2011
URI:
http://hdl.handle.net/10147/218992
DOI:
10.1053/j.semperi.2011.05.021
PubMed ID:
22108086
Abstract:
Obesity is associated with serious morbidity during pregnancy, and obese women also are at a high risk of developing complications during labor, leading to an increased risk for instrumental and Cesarean deliveries. The engagement of the obstetrical anesthetist in the management of this group of high-risk patients should be performed antenatally so that an appropriate management strategy can be planned in advance to prevent an adverse outcome. Good communication between all care providers is essential. The obese patient in labor should be encouraged to have a functioning epidural catheter placed early in labor. Apart from providing analgesia and alleviating physiological derangements during labor, the presence of a functioning epidural catheter can also be used to induce anesthesia quickly in the event of an emergency cesarean section, thus avoiding a general anesthesia, which has exceedingly high risks in the obese parturient. Successful management of the obese patient necessitates a comprehensive strategy that encompasses a multidisciplinary and holistic approach from all care-providers.
Language:
en
MeSH:
Analgesia, Obstetrical; Anesthesia, Epidural; Anesthesia, General; Anesthesia, Obstetrical; Cardiovascular System; Cesarean Section; Female; Humans; Labor, Obstetric; Obesity; Obstetric Labor Complications; Postoperative Complications; Pregnancy; Pregnancy Complications; Respiratory System; Risk Factors
ISSN:
1558-075X
Ethical Approval:
N/A

Full metadata record

DC FieldValue Language
dc.contributor.authorTan, Terry-
dc.contributor.authorSia, Alex T-
dc.date.accessioned2012-04-18T11:38:20Z-
dc.date.available2012-04-18T11:38:20Z-
dc.date.issued2011-12-
dc.identifier.citationAnesthesia considerations in the obese gravida. 2011, 35 (6):350-5 Semin. Perinatol.-
dc.identifier.issn1558-075X-
dc.identifier.pmid22108086-
dc.identifier.doi10.1053/j.semperi.2011.05.021-
dc.identifier.urihttp://hdl.handle.net/10147/218992-
dc.description.abstractObesity is associated with serious morbidity during pregnancy, and obese women also are at a high risk of developing complications during labor, leading to an increased risk for instrumental and Cesarean deliveries. The engagement of the obstetrical anesthetist in the management of this group of high-risk patients should be performed antenatally so that an appropriate management strategy can be planned in advance to prevent an adverse outcome. Good communication between all care providers is essential. The obese patient in labor should be encouraged to have a functioning epidural catheter placed early in labor. Apart from providing analgesia and alleviating physiological derangements during labor, the presence of a functioning epidural catheter can also be used to induce anesthesia quickly in the event of an emergency cesarean section, thus avoiding a general anesthesia, which has exceedingly high risks in the obese parturient. Successful management of the obese patient necessitates a comprehensive strategy that encompasses a multidisciplinary and holistic approach from all care-providers.-
dc.language.isoen-
dc.rightsArchived with thanks to Seminars in perinatologyen_GB
dc.subject.meshAnalgesia, Obstetrical-
dc.subject.meshAnesthesia, Epidural-
dc.subject.meshAnesthesia, General-
dc.subject.meshAnesthesia, Obstetrical-
dc.subject.meshCardiovascular System-
dc.subject.meshCesarean Section-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshLabor, Obstetric-
dc.subject.meshObesity-
dc.subject.meshObstetric Labor Complications-
dc.subject.meshPostoperative Complications-
dc.subject.meshPregnancy-
dc.subject.meshPregnancy Complications-
dc.subject.meshRespiratory System-
dc.subject.meshRisk Factors-
dc.titleAnesthesia considerations in the obese gravida.en_GB
dc.contributor.departmentDepartment of Perioperative Medicine and Anaesthesia, Coombe Women and Infants University Hospital, Dublin, Ireland.-
dc.identifier.journalSeminars in perinatology-
dc.type.qualificationlevelN/Aen
cr.approval.ethicalN/Aen
dc.description.provinceLeinsteren

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