Key result
Review details labor anesthesia risks and the role of obstetric anesthesiologists as peridelivery intensivists.
This review highlights the critical role of obstetric anesthesiologists in managing hemodynamically unstable patients and preventing severe maternal morbidity and mortality.
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May support obstetric anesthesiologist-led peridelivery care in unstable patients; leaves open prospective outcome data on morbidity reduction.
Anesthesiologists are responsible for the safe and effective provision of analgesia for labor and anesthesia for cesarean delivery and other obstetric procedures. In addition, obstetric anesthesiologists often have a unique role as the intensivists of the obstetric suite. The anesthesiologist is frequently the clinician with the greatest experience in the acute bedside management of a hemodynamically unstable patient and expertise in life-saving interventions. This review will discuss (1) risks associated with neuraxial and general anesthesia for labor and delivery, and (2) clinical scenarios in which the obstetric anesthesiologist is commonly called upon to function as a "peridelivery intensivist."
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McQUAID et al. (2018) conducted a review in Severe maternal morbidity and mortality. Obstetric anesthesiologist management was evaluated. This review discusses the risks associated with neuraxial and general anesthesia for labor and delivery and the role of the obstetric anesthesiologist as a peridelivery intensivist.
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