| Anesthetic considerations in preeclampsia. | |
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MedLine Citation:
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PMID: 1764887 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The successful anesthetic management of women with preeclampsia requires familiarity with the pathophysiology and hemodynamic changes characteristic of the disease process. Currently, overwhelming laboratory and clinical evidence attests to the safety and benefits of continuous lumbar epidural anesthesia in women with preeclampsia. For women with the milder form of the disease process, routine anesthetic care is sufficient. In those with severe preeclampsia, blood pressure should be controlled and intravascular volume status optimized with the aid of invasive monitoring. It is important to remember that decreased plasma proteins and presence of hepatic and renal dysfunction can influence maternal responses to drug therapy. The use of short-acting beta-adrenergic blocking agents, such as esmolol, and calcium entry-blocking agents, such as nifedipine, for blood pressure control before anesthetic induction and the role of epidural morphine and clonidine for postcesarean section pain relief are currently under investigation. |
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Authors:
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J Ramanathan |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Clinics in perinatology Volume: 18 ISSN: 0095-5108 ISO Abbreviation: Clin Perinatol Publication Date: 1991 Dec |
Date Detail:
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Created Date: 1992-02-20 Completed Date: 1992-02-20 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7501306 Medline TA: Clin Perinatol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 875-89 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, University of Tennessee, Memphis. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia
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methods*,
standards Anesthesia, Obstetrical / methods*, standards Clinical Protocols / standards Female Hemodynamics Humans Monitoring, Intraoperative Pre-Eclampsia / blood, physiopathology, therapy* Pregnancy |
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