oa Southern African Journal of Anaesthesia and Analgesia - Anesthesia for the parturient with cardiovascular disease : review article
|Article Title||Anesthesia for the parturient with cardiovascular disease : review article|
|© Publisher:||Medpharm Publications|
|Journal||Southern African Journal of Anaesthesia and Analgesia|
|Author||Krzysztof M. Kuczkowski|
|Publication Date||May 2003|
|Pages||18 - 25|
|Keyword(s)||Cardiovascular disease, Obstetric anesthesia and Pregnancy|
Extracted from text ... REVIEW ARTICLE Southern African Journal of Anaesthesia & Analgesia - May 2003 18 Anesthesia for the parturient with cardiovascular disease by the marked fluctuations in cardiac output observed during labor. Pain and apprehension may precipitate an increase in cardiac output to as much as 45-50% over those levels seen in the late second stage of labor.6 Further, each uterine contraction serves, in effect, as an autotransfusion to the central blood volume, resulting in an increase in cardiac output of 10-25%.7 The Valsalva maneuver results in wide swings in both venous and arterial pressures, which have been asso-ciated with acute ..
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