The anesthetic approach to operative delivery of the extremely obese parturient.
Semin Perinatol
; 38(6): 341-8, 2014 Oct.
Article
em En
| MEDLINE
| ID: mdl-25146109
ABSTRACT
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.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações na Gravidez
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Parto Obstétrico
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Anestesia Obstétrica
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Obesidade
Limite:
Adult
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Female
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Humans
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Pregnancy
Idioma:
En
Revista:
Semin Perinatol
Ano de publicação:
2014
Tipo de documento:
Article