Anesthetic management for elective lower segment cesarean section in a patient with systemic lupus erythematosus and thrombocytopenia
Joint Authors
Patel Kiran B.
Tapan, Shah
Sharma Ananyaruchi S.
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 9, Issue 1 (31 Mar. 2016), pp.142-145, 4 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2016-03-31
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Systemic lupus erythematosus is a multisystem, chronic infl ammatory disease characterized by autoantibodies directed against nuclear antigens.
The disease is most frequently found in women of child-bearing age and therefore may coexist with pregnancy.
The clinical symptoms are variable and depend on the severity of damage to organ systems such as the musculoskeletal, renal, hematological, neurological, cardiac, and respiratory systems.
The pregnant patient may experience exacerbations of disease, neonatal loss, and obstetric complications such as pre-eclampsia.The anesthetic management will depend on the patient’s clinical status and the well-being of the fetus.
The patient should be thoroughly examined for the extent of end-organ damage, current medications, and the health of the fetus.
Laboratory investigations, such as coagulation profi les and testing for renal functions, should be performed and enough amount of blood substitutes should be kept ready before anesthetic intervention if time permits.
A multidisciplinary approach by the obstetrician, the anesthesiologist and the hematologist for regular antenatal checkups, proper preoperative evaluation, and rational preparation of blood substitutes, with the availability of enough resources to manage complications during the entire course of the peripartum period, is essential to optimize the outcome for both the mother and the newborn.
American Psychological Association (APA)
Patel Kiran B.& Tapan, Shah& Sharma Ananyaruchi S.. 2016. Anesthetic management for elective lower segment cesarean section in a patient with systemic lupus erythematosus and thrombocytopenia. Ain Shams Journal of Anesthesiology،Vol. 9, no. 1, pp.142-145.
https://search.emarefa.net/detail/BIM-679100
Modern Language Association (MLA)
Patel Kiran B.…[et al.]. Anesthetic management for elective lower segment cesarean section in a patient with systemic lupus erythematosus and thrombocytopenia. Ain Shams Journal of Anesthesiology Vol. 9, no. 1 (Jan. / Mar. 2016), pp.142-145.
https://search.emarefa.net/detail/BIM-679100
American Medical Association (AMA)
Patel Kiran B.& Tapan, Shah& Sharma Ananyaruchi S.. Anesthetic management for elective lower segment cesarean section in a patient with systemic lupus erythematosus and thrombocytopenia. Ain Shams Journal of Anesthesiology. 2016. Vol. 9, no. 1, pp.142-145.
https://search.emarefa.net/detail/BIM-679100
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 145
Record ID
BIM-679100