Selected aspects of anaesthesia for non-obstetric surgical procedures in the pregnant patient
Authors:
P. Štourač 1; J. Bláha 2,3; P. Nosková 2,3; R. Klozová 3,4; D. Seidlová 4; P. Janků 5; M. Huser 5; H. Harazim 6; M. Kosinová 6
Authors‘ workplace:
Klinika dětské anesteziologie a resuscitace, Lékařská fakulta Masarykovy univerzity a Fakultní nemocnice
Brno
1; Klinika anesteziologie, resuscitace a intenzivní medicíny, 1. lékařská fakulta Univerzity Karlovy v Praze
a Všeobecná fakultní nemocnice v Praze
2; Klinika anesteziologie, resuscitace a intenzivní medicíny, 2. lékařská fakulta Univerzity Karlovy v Praze
a Fakultní nemocnice v Motole
3; II. anesteziologicko-resuscitační oddělení, Fakultní nemocnice Brno
4; Gynekologicko-porodnická klinika, Lékařská fakulta Masarykovy univerzity a Fakultní nemocnice Brno
5; Klinika anesteziologie, resuscitace a intenzivní medicíny, Lékařská fakulta Masarykovy univerzity
a Fakultní nemocnice Brno
6
Published in:
Anest. intenziv. Med., 27, 2016, č. 5, s. 294-301
Category:
Overview
The article presents the current view of the Section for Obstetric Anaesthesia and Analgesia of ČSARIM (SPAA ČSARIM) on non-obstetric anaesthesia during pregnancy. The article first discusses the various risks associated with the administration of anaesthesia in pregnant women. Then we describe the various stages of the perioperative process in relation to non-obstetric anaesthesia in pregnant women. At the end we present examples of the anaesthetic management of specific types of procedures.
Keywords:
anaesthesia in pregnancy – safety of anaesthetic care
Sources
1. Heesen, M., Klimek, M. Nonobstetric anesthesia during pregnancy. Curr. Opin. Anaesthesiol., 2016, 29, 3, p. 297–303.
2. Gilo, N. B., Amini, D., Landy, H. J. Appendicitis and cholecystitis in pregnancy. Clin. Obstet. Gynecol., 2009, 52, p. 586–596.
3. ACOG Committee on Obstetric Practice ACOG Committee Opinion No. 474: nonobstetric surgery during pregnancy. Obstet. Gynecol., 2011, 117, p. 420–421.
4. Cohen-Kerem, R., Railton, C., Oren, D. et al. Pregnancy outcome following nonobstetric surgical intervention. Am. J. Surg., 2005, 190, p. 467–473.
5. Canadian Agency for Drugs and Technologies in Health Rapid Response Report Anaesthetic Agents in Pregnant Women Undergoing Non-Obstetric Surgical or Endoscopic Procedures: A Review of the Safety and Guidelines. 08 June 2015.
6. Stourac, P., Blaha, J., Klozova, R., Noskova, P., Seidlova, D., Brozova, L., Jarkovsky, J. Anesthesia for Cesarean Delivery in the Czech Republic: A 2011 National Survey. Anesth. Analg., 2015, 120, 6, p. 1303–1308.
7. Kinsella, S. M., Winton, A. L., Mushambi, M. C., Ramaswamy, K., Swales, H., Quinn, A. C., Popat, M. Failed tracheal intuba-tion during obstetric general anaesthesia: a literature review. Int. J. Obstet. Anesth., 2015, 24, p. 356–374.
8. Boutonnet, M., Faitot, V., Katz, A., Salomon, L., Keita, H. Mallampati class changes during pregnancy, labour, and after delivery: can these be predicted? Br. J. Anaesth., 2010, 104, p. 67–70.
9. Leboulanger, N., Louvet, N., Rigouzzo, A. et al. Pregnancy is associated with a decrease in pharyngeal but nog racheal or laryngeal cross-sectional area: a pilot study using the acoustic reflection method. Int. J. Obest. Anesth., 2014, 23, p. 35–39.
10. Kinsella, S. M., Winton, A. L., Mushambi, M. C. et al. Failed tracheal intubation during obstetric general anaesthesia: a literature review. Int. J. Obstet. Anesth., 2015, 24, p. 356–374.
11. Štourač, P., Bláha, J., Nosková, P., Klozová, R., Seidlová, D. Současné postupy v porodnické anestezii IV. – anesteziologické komplikace u císařského řezu. Anest. Intenziv. Med., 2014, 25, 2, p. 123–134.
12. Pandit, J. J., Andrade, J., Bogod, D. G. et al. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: summary of main findings. Br. J. Anaesth., 2014, 113, p. 549–559.
13. Xiong, M., Li, J., Alhashem, H. M. et al. Propofol exposure in pregnant rats induces neurotoxicity and persistent learning deficit in the offspring. Brain Sci., 2014, 4, p. 356–375.
14. Li, J., XIong, M., Alhashem, H. M. et al. Effects of prenatal propofol exposure on postnatal development in rats. Neurotoxicol. Teratol., 2014, 43, p. 51–58.
15. Creeley, C., Dikranian, K., DIssen, G. et al. Propofol-induced apoptosis of neurons and oligodendrocytes in fetal and neonatal rhesus macacque brain. Br. J. Anaesth., 2013, 110, Suppl. 1, p. i29–i38.
16. Zheng, H., Dong, Y., Xu, Z. et al. Sevoflurane anesthesia in pregnant mice induces neurotoxicity in fetal and offspring mice. Anesthesiology, 2013, 118, p. 516–526.
17. Palanisamy, A., Baxter, M. G., Keel, P. K. et al. Rats exposed to isoflurane in utero during early gestation are behaviorally abnormal as adults. Anesthesiology, 2011, 114, p. 521–528.
18. Li, Y., Liang, G., Wang, S. et al. Effects of fetal exposure to isoflurane on postnatal memory and learning in rats. Neuropharmacology, 2007, 53, p. 942–950.
19. Mazze, R. I., Källén, B. Appendectomy during pregnancy: a Swedish registry study of 778 cases. Obstet. Gynecol., 1991, 77, 6, p. 835–840.
20. Shim, J. Y., Park, Y. W., Yoon, B. H., Cho, Y. K., Yang, J. H., Lee, Y., Kim, A. Multicentre, parallel group, randomised, single-blind study of the safety and efficacy of atosiban versus ritodrine in the treatment of acute preterm labour in Korean women. BJOG, 2006, 113, 11, p. 1228–1234.
21. Hans, G. A., Bosenge, B., Bonhomme, V. L., Brichant, J. F., Venneman, I. M., Hans, P. C. Intravenous magnesium re-establishes neuromuscular block after spontaneous recovery from an intubating dose of rocuronium: a randomised controlled trial. Eur. J. Anaesthesiol., 2012, 29, 2, p. 95–99.
22. Kilpatrick, C. C., Puig, C., Chohan, L., Monga, M., Orejuela, F. J. Intraoperative fetal heart rate monitoring during nonobstetric surgery in pregnancy: a practice survey. South Med. J., 2010, 103, 3, p. 212–215.
23. McKellar, D. P., Anderson, C. T., Boynton, C. J., Peoples, J. B. Cholecystectomy during pregnancy without fetal loss. Surg. Gynecol. Obstet., 1992, 174, 6, p. 465–468.
24. Strickland, R. A., Oliver, W. C. Jr., Chantigian, R. C., Ney, J. A., Danielson, G. K. Anesthesia, cardiopulmonary bypass, and the pregnant patient. Mayo Clin. Proc., 1991, 66, 4, p. 411–429.
25. Buckley, T. A., Yau, G. H., Poon, W. S., Oh, T. Caesarean section and ablation of a cerebral arterio-venous malformation. Anaesth. Intensive Care, 1990, 18, 2, p. 248–251.
26. Jenkins, T. M., Mackey, S. F., Benzoni, E. M., Tolosa, J. E., Sciscione, A. C. Non-obstetric surgery during gestation: risk factors for lower birthweight. Aust. N. Z. J. Obstet. Gynaecol., 2003, 43, 1, p. 27–31.
27. Augustin, G., Majerovic, M. Non-obstetrical acute abdomen during pregnancy. Eur. J. Obstet. Gynecol. Reprod. Biol., 2007, 131, 1, p. 4–12.
28. Cherry, S. H. The pregnant patient: need for surgery unrelated to pregnancy. Mt. Sinai J. Med., 1991, 58, 1, p. 81–84.
29. Silvestri, M. T., Pettker, C. M., Brousseau, E. C., Dick, M. A., Ciarleglio, M. M., Erekson, E. A. Morbidity of appendectomy and cholecystectomy in pregnant and nonpregnant women. Obstet. Gynecol., 2011, 118, 6, p. 1261–1270.
30. Cruz, A. M., Southerland, L. C., Duke, T., Townsend, H. G., Ferguson, J. G., Crone, L. A. Intraabdominal carbon dioxide insufflation in the pregnant ewe. Uterine blood flow, intraamniotic pressure, and cardiopulmonary effects. Anesthesiology, 1996, 85, 6, p. 1395–1402.
31. Pearl, J., Price, R., Richardson, W., Fanelli, R. Society of American Gastrointestinal Endoscopic Surgeons Guidelines for diagnosis, treatment, and use of laparoscopy for surgical problems during pregnancy. Surg. Endosc., 2011, 25, p. 3479–3492.
32. Jain, V., Chari, R., Maslovitz, S. et al. Guidelines for the ma-nagement of a pregnant trauma patient. J. Obstet. Gynaecol. Can., 2015, 37, p. 553–574.
33. Chowdhury, T., Chowdhury, M., Schaller, B. et al. Perioperative considerations for neurosurgical procedures in the gravid patient: continuing professional development. Can. J. Anesth., 2013, 60, p. 1139–1155.
34. Kazemi, P., Villar, G., Flexman, A. M. Anesthetic management of neurosurgical procedures during pregnancy: a case series. J. Neurosurg. Anesthesiol., 2014, 26, p. 234–240.
35. Dabus, G., Nogueira, R. G. Current options for the management of aneurysmal subarachnoid hemorrhage-induced cerebral vasospasm: a comprehensive review of the literature. Interv. Neurol., 2014, 2, p. 30–51.
36. Cantwell, R., Clutton-Brock, T., Cooper, G., Dawson, A., Drife, J., Garrod, D., Harper, A., Hulbert, D., Lucas, S., McClure, J., Millward-Sadler, H., Neilson, J., Nelson-Piercy, C., Norman, J., O‘Herlihy, C., Oates, M., Shakespeare, J., de Swiet, M., Williamson, C., Beale, V., Knight, M., Lennox, C., Miller, A., Parmar, D., Rogers, J., Springett, A. Saving Mothers‘ Lives: Reviewing maternal deaths to make motherhood safer: 2006-2008. The Eighth Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom. BJOG, 2011, 118, Suppl 1, p. 1–203.
37. Adamson, D. L., Nelson-Piercy, C. Managing palpitations and arrhythmias during pregnancy. Heart, 2007, 93, 12, p. 1630–1636.
38. Truhlář, A., Deakin, Ch. D., Soar, J., Khalifa, G. E. A., Alfonzo, A., Bierens, J. J. L. M., Brattebo, G., Brugger, H., Dunning, J., Hunyadi-Antičevič, S., Koster, R. W., Lockey, D. J., Lott, C., Paal, P., Perkins, G. D., Sandroni, C., Thies, K. Ch., Zideman, D. A., Nolan, J. P. Cardiac arrest associated with pregnancy in European Resuscitation Council Guidelines for Resuscitation 2015 Section 4. Cardiac arrest in special circumstances. Resuscitation, 2015, 95, p. 184–186.
39. Nosková, P., Bláha, J., Klozová, R., Seidlová, D., Štourač, P., Pařízek, A. Novinky v kardiopulmonální resuscitaci v porodnictví. Anest. Intenziv. Med., 2016, 27, 4, s. 222–225.
Labels
Anaesthesiology, Resuscitation and Inten Intensive Care MedicineArticle was published in
Anaesthesiology and Intensive Care Medicine
2016 Issue 5
Most read in this issue
- Hypotension following induction to general anaesthesia: prevalence, significance, risk factors and preventive management options
- The 2016 definition of sepsis (Sepsis-3)
- Selected aspects of anaesthesia for non-obstetric surgical procedures in the pregnant patient
- Body temperature in the anaesthetised child