Role of the anaesthetist in obstetric critical care

Best Practice & Research. Clinical Obstetrics & Gynaecology
Felicity Plaat, Sarah Wray

Abstract

The anaesthetist plays a key role in the management of high-risk pregnancies, and must be a member of the multidisciplinary team that is required to care for the critically ill obstetric patient. Anaesthetists are trained in advanced life support and resuscitation. They are experienced in the management of the critically ill, and provide anaesthesia, sedation and pain management. The obstetric anaesthetist should undertake education of medical and midwifery staff in the early recognition, monitoring and treatment of the sick mother, resuscitation training, running 'skills drills' for emergency simulations, risk management and audit of maternal morbidity on the labour ward. To date, there is little evidence to inform the anaesthetic management of the critically ill obstetric patient; most recommendations and guidelines are based on the management of non-obstetric, critically ill patients. Management must be adapted to encompass the physiological changes of pregnancy. Evidence-based guidelines on management of the critically ill woman with specific obstetric conditions are also lacking.

References

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Dec 1, 1996·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·H Wulf
Jul 15, 2000·British Journal of Anaesthesia·N ParekhI F Russell
Feb 20, 2003·American Journal of Obstetrics and Gynecology·Thomas M JenkinsFrank H Boehm
Feb 27, 2004·Anaesthesia·P C A KamA C S Liew
Jul 1, 1997·International Journal of Obstetric Anesthesia·J J Cordingley, A P Rubin
Dec 17, 2004·Anaesthesia·A J D Cameron, T A J Skinner
Jul 1, 1993·International Journal of Obstetric Anesthesia·P R HowellM J Douglas
Jul 9, 2005·Critical Care Medicine·Stephen E Lapinsky
Oct 11, 2005·Critical Care Medicine·Shigeki Fujitani, Marie R Baldisseri
Jan 26, 2006·International Journal of Obstetric Anesthesia·D P Dob, S M Yentis
Mar 15, 2006·Current Opinion in Anaesthesiology·Carmen Gomar, Carlos L Errando
Aug 19, 2006·Critical Care Medicine·Gerda G Zeeman
Jan 24, 2007·Bulletin of the World Health Organization·Julia Hussein

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Citations

Dec 31, 2010·Indian Journal of Anaesthesia·Sunanda Gupta
Apr 23, 2014·Current Opinion in Anaesthesiology·Jonathan M Ford, Helen Scholefield
Feb 15, 2011·International Journal of Obstetric Anesthesia·A T Dennis
Mar 1, 2012·Journal of Forensic Sciences·Nicolas FranchittoDaniel Rougé
Jun 27, 2012·Anaesthesia·A T Dennis
Feb 17, 2015·International Journal of Obstetric Anesthesia·P S BurrageJ N Hilberath
Apr 1, 2016·Current Opinion in Anaesthesiology·Vinod PatilDhuleep S Wijayatilake
Aug 22, 2013·British Journal of Sports Medicine·Daichi HayashiRichard De Villiers

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