| Overview of anesthetic considerations for Cesarean delivery. | |
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MedLine Citation:
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PMID: 22219238 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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IntroductionPhysiologic changes of pregnancy uniquely influence anesthesia for Cesarean delivery. Included is a review of current obstetrical anesthesia considerations for Cesarean delivery and recent changes improving maternal care and outcome.Sources of dataA literature review was conducted using Pubmed and the Cochrane database.Areas of agreement and controversyIncreased use of neuraxial techniques instead of general anesthesia for Cesarean delivery has improved maternal safety. Recent changes in the prevention of gastric aspiration, hypotension from neuraxial techniques, venous thrombosis and a team approach have improved maternal care. Elective Cesarean deliveries and management of urgent deliveries are areas of discussion.Areas timely for developing researchObstetric anesthesia advances have improved maternal outcomes. Current areas of needed obstetric anesthesia research include improved obese patient care, the impact of anticoagulation on neuraxial techniques in pregnancy, long-term neurocognitive effects of neonatal exposure to anesthesia and postoperative pain management. |
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Authors:
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Mark Rollins; Jennifer Lucero |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-1-4 |
Journal Detail:
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Title: British medical bulletin Volume: - ISSN: 1471-8391 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-1-5 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376542 Medline TA: Br Med Bull Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, CA 94143-0464, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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