alexa Anesthesia for Non-Obstetrical Surgery during Pregnancy
ISSN: 2327-5146

General Medicine: Open Access
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Review Article

Anesthesia for Non-Obstetrical Surgery during Pregnancy

Beatriz LS Mandim*, Roberto A Ruzi, Carolina P Bernardes and Renata R Teixeira
Department of Anesthesia, Hospital of Clinics of Federal University of Uberlandia, Avenue Para, 38411162, Uberlandia, Brazil
Corresponding Author : Dr. Beatriz Lemos da Silva Mandim
Department of Anesthesiology Clinics Hospital of Uberlandia Federal University
Uberlandia, Minas Gerais, Brazil
Tel: +553432365906
E-mail: [email protected]
Received October 22, 2014; Accepted January 02, 2015; Published January 10, 2015
Citation: Mandim BLS, Ruzi RA, Bernardes CP, Teixeira RR (2015) Anesthesia for Non-Obstetrical Surgery during Pregnancy. Gen Med (Los Angel) 3:157. doi: 10.4172/2327-5146.1000157
Copyright: © 2015 Mandim BLS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

The number of surgical procedures in gravid women unrelated to pregnancy itself has been increased over years. In such cases, one must keep in mind the responsibility for two patients, the optimization and maintenance of maternal homeostasis, avoiding alterations on uteroplacental perfusion that can bring harm to the fetus. This review focus on safety to performing these procedures during pregnancy, considering the advances in the prevention and treatment of obstetric and fetal morbidity related to anesthesia. Background and Objectives: Despite research advances, there is still much controversy in the anesthetic management of obstetric patients. Several studies have demonstrated the safety of anesthesia in this group of patients. In this review an analysis of anesthetics used in clinical practice is proposed as well as the technique to be chosen and its effects on the mother and fetus in non-obstetric surgery during pregnancy. Content: There was made a revision based on the main articles in the literature encompassing the epidemiology, physiological changes during pregnancy, anesthetic management, possible risks to the fetus due to the use of anesthetic drugs, fetal monitoring, and procedures such as fetal surgery and laparoscopic during pregnancy. Conclusion: Non-obstetric anesthesia in pregnant patients has proven to be safe in terms of maternal and fetal outcome, maternal morbidity and mortality, teratogenicity, premature birth and fetal loss.

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