Anesthetic Management of Obese Parturient FemaleAhmed Mohamed Saber Tawfeek,
AbstractA complete understanding of the physiology, pathophysiology, comorbidities and their implications for analgesia and anesthesia in morbidly obese parturient should lead to improved safety and anesthetic care. Communication among the anesthesiologist, obstetrician, nursing staff, and patient is imperative in caring for these patients. The mother’s life should not be endangered to save a compromised fetus (Saravanakumar et al., 2006). Obesity has become a ticking time bomb. The population of obese people and so also obese pregnant patients is increasing worldwide and it won’t be long before when anesthetists will be more commonly faced with managing obese parturient with a large spectrum of comorbidities. As the use of regional anesthesia in obstetrics anesthesia has increased, the trainee anesthetists are relatively less skilled to provide general anesthesia. General anesthesia with all the airway management problems has been the major reason of maternal mortality. An epidural block though technically difficult, provides optimal analgesia and can be extended for caesarean section if required. Hence obese parturient should be assessed and consulted by a senior anesthetist as early as 28 weeks of gestation in the pregnancy for formulating a plan for labor analgesia and anesthesia for caesarean section if required. Epidural analgesia should be provided in early labor prophylactically to avoid general anesthesia (Saravanakumar et al., 2006).
|Other Titles||المعالجة التخديرية للنساء الحوامل الذين يعانون من السمنة||Issue Date||2014||URI||http://research.asu.edu.eg/handle/12345678/47774|
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