Anesthesia for Nonobstetric Procedures During Pregnancy

Helen Pappas, Andrea Girnius

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

During pregnancy, women may present for nonobstetric procedures. These may include general surgeries (e.g., appendectomy or cholecystectomy), trauma-related surgery, or cardiac interventions in the case of pregnant women with cardiac disease. There are special considerations for any pregnant woman undergoing nonobstetric surgery. For pregnant women with cardiac disease, anesthesiologists must balance considerations related to their pregnancy, their cardiac status, and the condition requiring surgery. This chapter reviews considerations such as timing of surgery, anesthetic evaluation and planning of a safe anesthetic, the expected effect of anesthetic medications on the fetus, intraoperative concerns, and a discussion of fetal monitoring requirements around the time of surgery.

Original languageEnglish (US)
Title of host publicationMaternal Cardiac Care
Subtitle of host publicationA Guide to Managing Pregnant Women with Heart Disease
PublisherElsevier
Pages120-124
Number of pages5
ISBN (Electronic)9780323824644
ISBN (Print)9780323824651
DOIs
StatePublished - Jan 1 2022

Keywords

  • anesthesia
  • fetal monitoring
  • induction
  • nonobstetric surgery during pregnancy
  • placental transfer
  • positioning
  • preevaluation
  • teratogenic effects
  • timing of surgery

ASJC Scopus subject areas

  • General Medicine

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