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Anesthesia for the  Pregnant Patient Undergoing NonOB-Surgery Reference: Hawkins, JL. Anesthesia for the Pregnant Patient Undergoing  NonOB -Surgery. ASA Refresher Course. 2001. Jeffrey Groom, MS, CRNA, ARNP FIU - Anesthesiology Nursing Program NGR 6992 Principles of Anesthesiology Nursing II
NonOB SURGERY for OB Patients ,[object Object],[object Object],[object Object]
NonOB SURGERY for OB Patients ,[object Object],[object Object],[object Object]
NonOB SURGERY PROCEDURES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SURGICAL PROCEDURES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fetal Surgery ,[object Object],[object Object],[object Object],[object Object]
RISK AND OUTCOME ,[object Object],[object Object],[object Object],[object Object],[object Object]
ANESTHESIA MANAGEMENT ISSUES IN PREGNANCY ,[object Object],[object Object],[object Object],[object Object]
Management Objective ,[object Object],[object Object],[object Object],[object Object],[object Object]
Blood Flow to Uterus
PHYSIOLOGIC CHANGES OF PREGNANCY
 
 
Late Gestation and Anesthesia Risks ,[object Object],[object Object],[object Object],[object Object]
 
ANESTHETICS AND FETUS ,[object Object],[object Object],[object Object],[object Object],[object Object]
Changes in Risk Throughout Gestation ,[object Object],[object Object],[object Object],[object Object]
Fetal Safety: Developmental Alterations and Anesthesia ,[object Object],[object Object]
Risk Classification System ,[object Object],[object Object],[object Object],[object Object]
U.S. Food and Drug Administration Classification of Teratogenic Drug Risk Adapted from Federal Register(1979) Contraindicated in Pregnancy. X Positive human evidence of fetal risk. D Risk cannot be ruled out. C No evidence of risk in humans.  Either animal studies show no fetal risk or animal studies show risk but human studies do not show risk B Controlled studies show no risk. Well controlled human studies failed to demonstrate risk to fetus A Description of Risk Category
 
TERATOGENICITY ,[object Object],[object Object],[object Object],[object Object]
DOCUMENTED TERATOGENS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MEDICAL & SOCIAL FACTORS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
FDA
FDA ratings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Categories ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Categories ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NITROUS OXIDE ,[object Object],[object Object],[object Object],[object Object],[object Object]
BENZODIAZEPINES ,[object Object],[object Object],[object Object],[object Object],[object Object]
FETAL OUTCOME AFTER SURGERY ,[object Object],[object Object],[object Object],[object Object]
PreAnesthesia Assessment  and  Risks vs. Benefits
PRE-ANESTHESIA ASSESSMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Type of Anesthesia
PREOPERATIVE TREATMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GENERAL GUIDELINES ,[object Object],[object Object],[object Object]
Management Objective ,[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Factors for Aspiration in Pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Factors Known to Worsen Aspiration Syndrome ,[object Object],[object Object],[object Object],[object Object]
Agents for aspiration prophylaxis ,[object Object],[object Object],[object Object],[object Object]
MATERNAL POSITIONING ,[object Object],[object Object]
FETAL MONITORING ,[object Object],[object Object],[object Object],[object Object]
FETAL MONITORNG ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INDUCTION AND MAINTENANCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
REGIONAL ,[object Object],[object Object],[object Object],[object Object]
PostOperative   ,[object Object],[object Object],[object Object],[object Object]
Trauma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Appendectomy and Adnexal Masses Most Common Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Laparotomy Versus Laparoscopic Surgery ,[object Object],[object Object],[object Object],[object Object],[object Object]
CO 2  Pneumoperitoneum ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cervical Cerclage ,[object Object],[object Object],[object Object]
Contraindications to cervical cerclage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SUMMARY <16-20 WEEKS GESTATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SUMMARY > 16-20 WEEKS GESTATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Anesthesiology Information

  • 1. Anesthesia for the Pregnant Patient Undergoing NonOB-Surgery Reference: Hawkins, JL. Anesthesia for the Pregnant Patient Undergoing NonOB -Surgery. ASA Refresher Course. 2001. Jeffrey Groom, MS, CRNA, ARNP FIU - Anesthesiology Nursing Program NGR 6992 Principles of Anesthesiology Nursing II
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  • 20. U.S. Food and Drug Administration Classification of Teratogenic Drug Risk Adapted from Federal Register(1979) Contraindicated in Pregnancy. X Positive human evidence of fetal risk. D Risk cannot be ruled out. C No evidence of risk in humans. Either animal studies show no fetal risk or animal studies show risk but human studies do not show risk B Controlled studies show no risk. Well controlled human studies failed to demonstrate risk to fetus A Description of Risk Category
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