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Chapter 1 - Obstetric Anesthesia for the Parturient with Complex Medical Diseases

Published online by Cambridge University Press:  26 January 2024

David R. Gambling
Affiliation:
University of California, San Diego
M. Joanne Douglas
Affiliation:
University of British Columbia, Vancouver
Grace Lim
Affiliation:
University of Pittsburgh
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Summary

This chapter will outline the role of the obstetric anesthesiologist in caring for the parturient with a complex medical disease, the importance of early obstetric anesthesia consultation, and the value of establishing a multidisciplinary care team for the management of these patients. It also offers different tools for putting into action a care plan for a complex patient.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2024

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References

Creanga, AA, Syverson, C, Seed, K, et al. Pregnancy-related mortality in the United States, 2011–2013. Obstet Gynecol 2017;130:366373.Google Scholar
Mhyre, JM, Bateman, BT, Leffert, LR. Influence of patient comorbidities on the risk of near-miss maternal morbidity or mortality. Anesthesiology 2011;115:963972.Google Scholar
Wanderer, JP, Leffert, LR, Mhyre, JM, et al. Epidemiology of obstetric-related ICU admissions in Maryland: 1999–2008*. Crit Care Med 2013;41:18441852.Google Scholar
Davis, NL, Smoots, AN, Goodman, DA. Pregnancy-Related Deaths: Data from 14 U.S. Maternal Mortality Review Committees, 2008–2017. In: Centers for Disease Control and Prevention USDoHaHS, ed. Atlanta, GA2019.Google Scholar
Lim, G, Facco, FL, Nathan, N, et al. A review of the impact of obstetric anesthesia on maternal and neonatal outcomes. Anesthesiology 2018;129:192215.Google Scholar
Abir, G, Mhyre, J. Maternal mortality and the role of the obstetric anesthesiologist. Best Pract Res Clin Anaesthesiol 2017;31:91105.Google Scholar
Arnolds, DE. Maternal safety: recent advances and implications for the obstetric anesthesiologist. Curr Opin Anaesthesiol 2020;33:793799.Google Scholar
Practice Bulletin, No. 177. Obstetric analgesia and anesthesia. Obstet Gynecol 2017;129:e73e89.Google Scholar
Padilla, CR. The obstetric anesthesia consultation: why the physician anesthesiologist consultation during pregnancy should be standard of care. ASA Monitor 2016;80:6062.Google Scholar
Duarte, SS, Nguyen, TT, Koch, C, et al. Remote obstetric anesthesia: leveraging telemedicine to improve fetal and maternal outcomes. Telemed J E Health 2020;26:967972.Google Scholar
Carvalho, B, Mhyre, JM. Centers of Excellence for anesthesia care of obstetric patients. Anesth Analg 2019;128:844846.Google Scholar
O’Neal, MA. Obstetric anaesthesia: what a neurologist needs to know. Pract Neurol 2019;19:238245.Google Scholar
Marynen, F, Van Gerven, E, Van de Velde M. Simulation in obstetric anesthesia: an update. Curr Opin Anaesthesiol 2020;33:272276.Google Scholar
Shields, LE, Wiesner, S, Klein, C, et al. Use of maternal early warning trigger tool reduces maternal morbidity. Am J Obstet Gynecol 2016;214: 527.e1527.e6.Google Scholar
Douglas, RN, Stephens, LS, Posner, KL, et al. Communication failures contributing to patient injury in anaesthesia malpractice claims. Br J Anaesth 2021;127:470478.Google Scholar
Mangoubi, E, Livne, MY, Eidelman, LA, et al. No longer rare diseases and obstetric anesthesia. Curr Opin Anaesthesiol 2019;32:271277.Google Scholar
Hamilton, BE, Hoyert, DL, Martin, JA, et al. Annual summary of vital statistics: 2010–2011. Pediatrics 2013;131:548558.Google Scholar
Brenck, F, Hartmann, B, Katzer, C, et al. Hypotension after spinal anesthesia for cesarean section: identification of risk factors using an anesthesia information management system. J Clin Monit Comput 2009;23:8592.Google Scholar
Iezzoni, LI, Yu, J, Wint, AJ, et al. Prevalence of current pregnancy among US women with and without chronic physical disabilities. Med Care 2013;51:555562.Google Scholar
Smeltzer, SC, Wint, AJ, Ecker, JL, et al. Labor, delivery, and anesthesia experiences of women with physical disability. Birth 2017;44:315324.Google Scholar
Rubenstein, E, Ehrenthal, DB, Mallinson, DC, et al. Pregnancy complications and maternal birth outcomes in women with intellectual and developmental disabilities in Wisconsin Medicaid. PLoS One 2020;15:e0241298.Google Scholar
McCoun, KT, Fragneto, RY. Cancer and pregnancy: a difficult combination requiring multidisciplinary care. J Clin Anesth 2012;24:521523.Google Scholar
Tharmaratnam, U, Balki, M. Anesthetic management during labor and delivery: a 21-year review of women with cancer in a tertiary care center. J Clin Anesth 2012;24:524530.Google Scholar
Petersen, EE, Davis, NL, Goodman, DA, et al. Vital Signs: Pregnancy-Related Deaths, United States, 2011–2015, and Strategies for Prevention, 13 States, 2013–2017. Published 2019. Atlanta, GA: Centers for Disease Control and Prevention.Google Scholar
Minehart, RD, Jackson, J, Daly, J. Racial differences in pregnancy-related morbidity and mortality. Anesthesiol Clin 2020;38:279296.Google Scholar
Hoffkling, A, Obedin-Maliver, J, Sevelius, J. From erasure to opportunity: a qualitative study of the experiences of transgender men around pregnancy and recommendations for providers. BMC Pregnancy Childbirth 2017;17(Suppl. 2):332.Google Scholar
Light, AD, Obedin-Maliver, J, Sevelius, JM, et al. Transgender men who experienced pregnancy after female-to-male gender transitioning. Obstet Gynecol 2014;124:11201127.CrossRefGoogle ScholarPubMed
Taylor, MG, Scott, PM, Premkumar, A, et al. Peripartum considerations for the transgender parturient: a case report. A A Pract 2021;15:e01332.Google Scholar
Metzger, L, Teitelbaum, M, Weber, G, et al. Complex pathology and management of the obstetric patient: a narrative review for the anesthesiologist. Cureus 2021;13:e17196.Google Scholar
Einav, S, Leone, M. Epidemiology of obstetric critical illness. Int J Obstet Anesth 2019;40:128139.Google Scholar

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