Anesthetic Management of the Pregnant Patient with Comorbidities

Pp: 161-175 (15)

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Abstract

SHS investigation development is considered from the geographical and historical viewpoint. 3 stages are described. Within Stage 1 the work was carried out in the Department of the Institute of Chemical Physics in Chernogolovka where the scientific discovery had been made. At Stage 2 the interest to SHS arose in different cities and towns of the former USSR. Within Stage 3 SHS entered the international scene. Now SHS processes and products are being studied in more than 50 countries.

Abstract

An increase in pregnant patients with comorbidities has been seen in the last decade. Nevertheless, these patients are able to enjoy longer and better quality lives nowadays. During pregnancy, patients can experience decompensations of their chronic disease which can be sometimes challenging for the medical team. Complexity has risen; that is why the anesthesiologist must be updated and capable of facing different scenarios both in the delivery room and before or after birth. This chapter offers a practical and synthetical approach to the most common situations in which a general anesthesiologist can be involved, aiming to emphasize main points for safe and accurate anesthetic care.

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