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ArtikelThe Pregnant Patient: Assessment and Perioperative Management  
Oleh: Mckenzie, Heather ; Pulley, Debra Domino
Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Anesthesiology Clinics (keterangan: ada di ClinicalKey) vol. 34 no. 01 (Mar. 2016), page 213-222 .
Topik: Pregnancy; Preoperative Evaluation; Perioperative Management; Preoperative Pregnancy Testing; Fetal Effects of Perioperative Medications
Fulltext: A34 v34 n 1 p213 kelik2016.pdf (189.88KB)
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    • Nomor Panggil: A34.K
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Isi artikelPathologic changes can occur during pregnancy requiring diagnostic tests and procedures. A preoperative assessment and perioperative planning are essential. Normal physiologic changes include increased cardiac output and decreased functional residual capacity. Perioperative care should follow American Congress of Obstetricians and Gynecologists guidelines. Anesthetic concerns include desaturation during periods of apnea, aspiration, difficult intubation, friable nasal tissue, decreased MAC, and hypotension and/or decreased uterine perfusion from the uterus. Anesthesia and medications must be individualized and given only as needed. Limit exposure to multiple drugs and monitor for fetal wellbeing and premature labor per consultation and guidelines.
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