Anesthesiology Information

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 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]

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 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]

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]

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]

Anesthesiology Information

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