Anaesthesia for non-obstetric surgery during pregnancy

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 sh...

Full description

Bibliographic Details
Main Authors: Madhusudan Upadya, P J Saneesh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Indian Journal of Anaesthesia
Subjects:
Online Access:http://www.ijaweb.org/article.asp?issn=0019-5049;year=2016;volume=60;issue=4;spage=234;epage=241;aulast=Upadya
_version_ 1818290428628172800
author Madhusudan Upadya
P J Saneesh
author_facet Madhusudan Upadya
P J Saneesh
author_sort Madhusudan Upadya
collection DOAJ
description 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.
first_indexed 2024-12-13T02:28:01Z
format Article
id doaj.art-7f9620dcbf254389b93f39dc0b546958
institution Directory Open Access Journal
issn 0019-5049
language English
last_indexed 2024-12-13T02:28:01Z
publishDate 2016-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Anaesthesia
spelling doaj.art-7f9620dcbf254389b93f39dc0b5469582022-12-22T00:02:35ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492016-01-0160423424110.4103/0019-5049.179445Anaesthesia for non-obstetric surgery during pregnancyMadhusudan UpadyaP J SaneeshNon-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.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2016;volume=60;issue=4;spage=234;epage=241;aulast=UpadyaAnaesthesia, foetal development, non-obstetric surgery, pregnancy, teratogenicity
spellingShingle Madhusudan Upadya
P J Saneesh
Anaesthesia for non-obstetric surgery during pregnancy
Indian Journal of Anaesthesia
Anaesthesia, foetal development, non-obstetric surgery, pregnancy, teratogenicity
title Anaesthesia for non-obstetric surgery during pregnancy
title_full Anaesthesia for non-obstetric surgery during pregnancy
title_fullStr Anaesthesia for non-obstetric surgery during pregnancy
title_full_unstemmed Anaesthesia for non-obstetric surgery during pregnancy
title_short Anaesthesia for non-obstetric surgery during pregnancy
title_sort anaesthesia for non obstetric surgery during pregnancy
topic Anaesthesia, foetal development, non-obstetric surgery, pregnancy, teratogenicity
url http://www.ijaweb.org/article.asp?issn=0019-5049;year=2016;volume=60;issue=4;spage=234;epage=241;aulast=Upadya
work_keys_str_mv AT madhusudanupadya anaesthesiafornonobstetricsurgeryduringpregnancy
AT pjsaneesh anaesthesiafornonobstetricsurgeryduringpregnancy