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https://www.sciencedirect.com/science/article/pii/0952818093901455
'I CO increases following cesarean delivery, but the maximum increase following delivery under epidural anesthesia is reported to be only 25%, above preanesthetic values." Anesthetic techniques for patients with aortic stenosis undergoing cesarean section have stressed the use of general anesthesia' 3 to avoid reductions in afterload.Author: Johnny E. Brian, Astride B. Seifen, Richard B. Clark, Daniel M. Robertson, J. Gerald Quirk
https://www.ncbi.nlm.nih.gov/pubmed/7503809
Aortic stenosis, cesarean delivery, and epidural anesthesia. Brian JE Jr(1), Seifen AB, Clark RB, Robertson DM, Quirk JG. Author information: (1)Department of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock. Comment in J Clin Anesth. 1995 May;7(3):264-5.Author: Johnny E. Brian, Astride B. Seifen, Richard B. Clark, Daniel M. Robertson, J. Gerald Quirk
https://www.sciencedirect.com/science/article/abs/pii/0952818093901455
Aortic stenosis, cesarean delivery, and epidural anesthesia. ... at which time the patient underwent cesarean section with lumbar epidural anesthesia. Invasive hemodynamic monitors were used to assess cardiac performance and as a guide for anesthetic management. The impact of aortic stenosis on pregnancy is discussed, as are management aspects ...Author: Johnny E. Brian, Astride B. Seifen, Richard B. Clark, Daniel M. Robertson, J. Gerald Quirk
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5374811/
Suntharalingam et al. used the low dose technique with 0.1% bupivacaine and fentanyl and concluded that epidural analgesia may be used for delivery in aortic stenosis with close hemodynamic monitoring. The goals of management for patients with mitral and aortic stenosis are: Maintain sinus rhythm. Avoid both tachycardia and bradycardia.
https://rapm.bmj.com/content/15/5/273.2
Sep 01, 1990 · This is a PDF-only article. The first page of the PDF of this article appears above.Author: George Colclough
https://www.anesthesiaconsiderations.com/mitral-stenosis
Mitral stenosis with NYHA class II-IV symptoms is considered high maternal risk. Anesthetic options: Vaginal delivery. Symptomatic patients will require invasive monitoring . Adequate analgesia for first stage (epidural) Second stage should be assisted by low forceps/vacuum. Cesarean section. Epidural is the preferred method. If GA required ...
https://www.ecrjournal.com/articles/Pregnancy-Congenital-Aortic-Valve-Stenosis
Hemodynamic monitoring during labor and delivery is strongly recommended in women with moderate to severe aortic valve stenosis. Low-dose epidural anesthesia with adequate volume expansion to avoid a sudden decrease in systemic vascular resistance is allowed in these patients. 23 Although the American Heart Association (AHA)/American College of ...
https://rapm.bmj.com/content/rapm/15/5/273.2.full.pdf
Epidural Anesthesia for Cesarean Delivery in a Parturient with Aortic Stenosis To the Editor: ONCERNS REGARDING DECREASES systemic vascular resistance and venous return have inter- dicted the use of regional anesthesia in parturients with aortic stenosis.1-3 We used epidural anesthesia for cesarean delivery in a 23-year-old female of 32 weeks'Author: George Colclough
https://journals.lww.com/anesthesia-analgesia/pages/articleviewer.aspx?year=2008&issue=11000&article=00032&type=Fulltext
Reports describing the successful use of neuraxial anesthesia and analgesia for vaginal and cesarean delivery in patients with aortic stenosis and other valvular heart lesions emphasized the importance of using an incremental technique and avoidance of aorto-caval compression to maintain preload and avoid acute decrease in afterload. 12–17 ...
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