Neuraxial Anesthesia in High-Risk Cardiac Patients

Author:

Hussey Hanna,Neuenswander Annalese,Meers Jacob B.,Tuck Benjamin,Hussey Patrick

Publisher

Springer Science and Business Media LLC

Subject

Anesthesiology and Pain Medicine

Reference50 articles.

1. Regitz-Zagrosek V, Roos-Hesselink JW, Bauersachs J, Blomstrom-Lundqvist C, Cifkova R, De Bonis M, et al. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J. 2018;39(34):3165–241. https://doi.org/10.1093/eurheartj/ehy340.

2. •• Meng ML, Arendt KW, Banayan JM, Bradley EA, Vaught AJ, Hameed AB, et al. Anesthetic care of the pregnant patient with cardiovascular disease: a scientific statement from the American Heart Association. Circulation. 2023;147(11):e657–73. https://doi.org/10.1161/CIR.0000000000001121. This 2023 statement piece from the American Heart Association provides comprehensive guidelines and recommendations to address the unique challenges and considerations in managing anesthesia for this high-risk population.

3. Obstetricians ACo, Gynecologists’ presidential task force on pregnancy heart disease. ACOG Practice Bulletin No. 212: pregnancy and heart disease. Obstet Gynecol. 2019;133(5):e320-e56. https://doi.org/10.1097/AOG.0000000000003243.

4. Minhas AS, Goldstein SA, Vaught AJ, Lewey J, Ward C, Schulman SP, et al. Instituting a curriculum for cardio-obstetrics subspecialty fellowship training. Methodist Debakey Cardiovasc J. 2022;18(3):14–23. https://doi.org/10.14797/mdcvj.1101.

5. • Hussey H, Hussey P, Meng ML. Peripartum considerations for women with cardiac disease. Curr Opin Anaesthesiol. 2021;34(3):218–25. https://doi.org/10.1097/ACO.0000000000000992. This 2021 review article investigated current opinion and reports surrounding peripartum management of the cardio-obstetric patient. Neuraxial anesthesia and vaginal delivery were found to be well tolerated in most circumstances.

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