This document discusses anesthesia considerations during pregnancy and childbirth. It covers the types of anesthesia that may be used including general anesthesia with intravenous or inhalation drugs as well as regional techniques like spinal or epidural blocks. It notes the fetal and maternal risks of different anesthetic methods and drugs. Complications for the mother are also outlined such as pulmonary aspiration, respiratory disorders, and cardiovascular issues. The benefits of regional anesthesia are summarized as reducing the risks of aspiration, better physiological connection to the baby, and fewer drug effects on the fetus.
This document discusses anesthesia considerations during pregnancy and childbirth. It covers the types of anesthesia that may be used including general anesthesia with intravenous or inhalation drugs as well as regional techniques like spinal or epidural blocks. It notes the fetal and maternal risks of different anesthetic methods and drugs. Complications for the mother are also outlined such as pulmonary aspiration, respiratory disorders, and cardiovascular issues. The benefits of regional anesthesia are summarized as reducing the risks of aspiration, better physiological connection to the baby, and fewer drug effects on the fetus.
This document discusses anesthesia considerations during pregnancy and childbirth. It covers the types of anesthesia that may be used including general anesthesia with intravenous or inhalation drugs as well as regional techniques like spinal or epidural blocks. It notes the fetal and maternal risks of different anesthetic methods and drugs. Complications for the mother are also outlined such as pulmonary aspiration, respiratory disorders, and cardiovascular issues. The benefits of regional anesthesia are summarized as reducing the risks of aspiration, better physiological connection to the baby, and fewer drug effects on the fetus.
This document discusses anesthesia considerations during pregnancy and childbirth. It covers the types of anesthesia that may be used including general anesthesia with intravenous or inhalation drugs as well as regional techniques like spinal or epidural blocks. It notes the fetal and maternal risks of different anesthetic methods and drugs. Complications for the mother are also outlined such as pulmonary aspiration, respiratory disorders, and cardiovascular issues. The benefits of regional anesthesia are summarized as reducing the risks of aspiration, better physiological connection to the baby, and fewer drug effects on the fetus.
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Anesthesia in
Pregnancy and Childbirth Preliminary Anesthesia Reruired for delivery without pain,pliers or vacuum extraction, caesarean section or other delivery complication action. • Method anesthesia :minimum depress fetal anesthesia safe and comfortable for the mother, the operator can work optimally • Complication for mother • Adverse effects on the fetus Factors that cause fetal asphiyxia 1. Intravenous anesthetic drugs. Induction: pentotal, propofol, ketamine. Sedation: diazepam, midazolam. Analgesics: opioids (pethidin, morphine, fentanyl). 2. Inhalation anesthetics. The effect on the baby depends on the dose given(halotan, enfluran, isofluran,sevofluran) 1. Muscle relaxant drugs. For ETT intubation and relaxation so that the operator is working. No effect to the fetus because it can not pass the placental barrier. 2. Local Anesthesia drug Tehnik anesthesia regional anesthesia drug use is a spinal block and epidural block. The direct effect of the baby depends on the technique and the dose of local anesthetic drugs in use.. Obat yg sering digunakan adalah bupivakain 0,5% dan ropivakain 0,75%. Komplikasi pada ibu
Pulmonary Aspiration Aspiration of gastric fluid into the lungs due to regurgitation or muntah.Hal is due ↓ esophageal sphincter tone, which slow gastric emptying, gastric acid production, gastric pressure ↑the complication can held when induction,intubation,and ectubation. • Respiratory disorders. Occur because of trauma to the airway during endotracheal intubation, difficult intubation, hypoventilation from opioid drugs or anesthesia • Cardiovascular disorders. Form of hypotension due to severe bleeding that suddenly, obstruction aortokava, sympathetic blocks for spinal anesthesia and epidural, vasomotor depression due to the anesthesia that in. Local Anesthesia • Choice for cesarean section because it can be done, the effect of sympathetic blocks more easily controlled, oxygenation and ventilation is guaranteed. Rarely do to relieve labor pain, because the number of small and uneconomical satisfaction • This technique is recommended in cases of fetal distress, hypovolemia (shock). Must be careful in case of difficult intubation, pre-eclampsia and eclampsia, a full stomach (fasting <6 hours). Anestesia Regional • Contra indications spinal and epidural blocks are: - Infection of the surrounding area punctures. - - Disorders of blood clotting. - - Hypovolemia. Complication
- Hypotension, due to sympathetic block → vasodilatation. - Impaired
respiration, due to respiratory muscle paralysis because the block is too high, the central depression of breath due to hypoperfusion in trunk of brain - Vomiting, due to visceral manipulation tools, or hypoperfusion in the brain stem. - Another complication is a headache, especially when sitting or standing position, and will decrease when lying down. Benefit 1. Danger of aspiration smaller, because the patient is awake. 2. Physiological relationship between mother and baby interwoven faster. 3. The effects of drugs on the fetus is smaller. 4. The amount of bleeding because fewer actions. 5. mobilization and begin feeding sooner.
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Differentiating Anesthesia Equipment: Identify and Understand Anesthesia Equipment in 1 Hour (Including the most popular manufacturers and suppliers to buy Anesthesia Equipment)
Local Anesthesia Made Easy: Complete Guide on How to make your Local Anesthetic Procedure a Success (Including a List of Anesthetic Equipment and their Uses)
