Idioma:

Anesthetic management in pregnant women with Fontan circulation: a case series

Fujita, Ai ; Shirozu, Kazuhiro ; Higashi, Midoriko ; Yamaura, Ken

JA Clinical Reports, 2024-12, Vol.10 (1), p.25-25 [Periódico revisado por pares]

Berlin/Heidelberg: Springer Berlin Heidelberg

Texto completo disponível

Citações Citado por

Enviar para

Título:
Anesthetic management in pregnant women with Fontan circulation: a case series
Autor: Fujita, Ai ; Shirozu, Kazuhiro ; Higashi, Midoriko ; Yamaura, Ken
Assuntos: Anesthesia ; Anesthesiology ; Anesthetic management ; Anticoagulants ; Anticoagulation therapy ; Aspirin ; Bupivacaine ; Case Report ; Cesarean section ; Childbirth & labor ; Critical Care Medicine ; Emergency Medicine ; Epidural ; Fontan circulation ; Heart failure ; Intensive ; Labor analgesia ; Medicine ; Medicine & Public Health ; Mode of delivery ; Pain Medicine ; Pregnant women ; Regional anesthesia ; Warfarin
É parte de: JA Clinical Reports, 2024-12, Vol.10 (1), p.25-25
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: Background Given the advances in medicine, women with Fontan circulation are now reaching childbearing age. However, data on the mode of delivery and anesthetic management of these patients are limited. We report the cases of five pregnant women with Fontan circulation. Case presentation The mean age at delivery was 28 ± 3 years, and the mean gestational period was 34 weeks and 3 days. Anticoagulation therapy was switched from warfarin and aspirin to continuous intravenous heparin. The modes of delivery were scheduled cesarean section (C/S) in one, emergency C/S in three, and vaginal delivery with epidural labor analgesia in one patient. Three patients underwent C/S under regional anesthesia; one received general anesthesia. The perinatal complications were heart failure, worsening valve regurgitation, and postoperative hematoma in three, four, and two patients, respectively. Conclusions For C/S in women with Fontan circulation, regional anesthesia should be considered. Epidural labor analgesia can help prevent the decrease in pulmonary blood flow due to straining. We initiated labor analgesia or C/S with regional anesthesia at the appropriate time in four patients.
Editor: Berlin/Heidelberg: Springer Berlin Heidelberg
Idioma: Inglês

Links

View this record in MEDLINE/PubMed

Voltar para lista de resultados

Realização: Logos de Redes Sociais:

Anesthetic management in pregnant women with Fontan circulation: a case series

Fujita, Ai ; Shirozu, Kazuhiro ; Higashi, Midoriko ; Yamaura, Ken

Berlin/Heidelberg: Springer Berlin Heidelberg

Buscando em bases de dados remotas. Favor aguardar.