| The anesthetic approach to operative delivery of the extremely obese parturient. | |
MedLine Citation:
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PMID: 25146109 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Extreme obesity (BMI ≥ 40) is thought to complicate approximately 5% of deliveries in the United States. Extreme obesity puts a pregnant woman at an increased risk for cardiovascular disease, including hypertension, coronary artery disease, and congestive heart failure; respiratory disease, including obstructive sleep apnea and asthma; as well as pregnancy-specific diseases including pregnancy-induced hypertension and gestational diabetes. Extreme obesity also puts a parturient at a significantly increased risk of requiring cesarean delivery. For the anesthesiologist, the physiologic changes of obesity combined with the normal physiologic changes of pregnancy can make for a complex and challenging case. This review will focus on the anesthetic approach to the extremely obese parturient undergoing scheduled operative delivery. With proper planning and a detailed understanding of the patient׳s comorbidities, a safe and effective anesthetic can be achieved. |
Authors:
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Laurence E Ring |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2014-8-18 |
Journal Detail:
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Title: Seminars in perinatology Volume: - ISSN: 1558-075X ISO Abbreviation: Semin. Perinatol. Publication Date: 2014 Aug |
Date Detail:
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Created Date: 2014-8-22 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7801132 Medline TA: Semin Perinatol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2014 Elsevier Inc. All rights reserved. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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