Ch. 13 Anesthetic Considerations for Cesarean Delivery Flashcards
most commonly performed surgical procedure
cesarean
what is the leading cause of maternal mortality in women receiving neuraxial anesthesia
high neuraxial block
What are the common etiologies for maternal arrest during hospitalization for delivery
- hemorrhage
- heart failure
- amniotic fluid embolus
- sepsis
Which two drugs can be used for the prevention and treatment of hypotension associated with anesthetic administration
- ephedrine
- phenylephrine
Which medication (phenylephrine or ephedrine) is associated with less metabolic effects on the fetus
phenylephrine
T/F regardless of the anesthetic technique, all patients are maintained in the left uterine position until delivery of the fetus
true
Does administration of crystalloid bolus prior to neuraxial reliably prevent hypotension
no, may decrease the incidence but doesn’t prevent
What is a contraindication to subsequent vaginal delivery (midline or verticle)
vertical incision
What effect does CD have on subsequent pregnancies in regard to placenta abruption and placenta previa
increased risk of placenta previa and placental abruption
Patients undergoing CD during labor are at a greater or lesser risk for hemorrhage
greater
What effect if any do painful contractions and parenteral opioids have on gastric emptying
slows
Does a dense block take longer to achieve with an epidural compared to spinal
obviously
What intervention during resuscitation of patients experiencing arrest from spinal anesthesia improves survival
early epi admin
What is the concern with spinal anesthesia after failed epidural
high or total spinal block
What population is it more important to monitor for respiratory depression following neuraxial
obese
