Anaesthesia for non-obstetric surgery during pregnancy

Upadya, Madhusudan and *, Saneesh P J (2016) Anaesthesia for non-obstetric surgery during pregnancy. Indian Journal of Anaesthesia, 60 (4). pp. 234-241. ISSN 0019-5049

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Abstract

Non-obstetric surgery during pregnancy posts additional concerns to anaesthesiologists. The chief goals are to preserve maternal safety, maintain the pregnant state and achieve the best possible foetal outcome. The choice of anaesthetic technique and the selection of appropriate anaesthetic drugs should be guided by indication for surgery, nature, and site of the surgical procedure. Anaesthesiologist must consider the effects of the disease process itself and inhibit uterine contractions and avoid preterm labour and delivery. Foetal safety requires avoidance of potentially dangerous drugs and assurance of continuation of adequate uteroplacental perfusion. Until date, no anaesthetic drug has been shown to be clearly dangerous to the human foetus. The decision on proceeding with surgery should be made by multidisciplinary team involving anaesthesiologists, obstetricians,surgeons and perinatologists. This review describes the general anaesthetic principles, concerns regarding anaesthetic drugs and outlines some specific conditions of non-obstetric surgeries.

Item Type: Article
Uncontrolled Keywords: Anaesthesia, foetal development, non-obstetric surgery, pregnancy, teratogenicity
Subjects: Medicine > KMC Mangalore > Anaesthesiology
Depositing User: KMCMLR User
Date Deposited: 15 Nov 2016 15:20
Last Modified: 15 Nov 2016 15:20
URI: http://eprints.manipal.edu/id/eprint/147525

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