AI Article Synopsis
- Over the last 40 years, the ability for female solid organ transplant recipients to have successful pregnancies has improved, presenting new challenges for anesthesiologists during anesthesia care in the peripartum period.
- Anesthetic considerations must take into account the unique physiological changes of pregnancy, the functioning of the transplanted organ, and the potential drug interactions and side effects of immunosuppressive medications.
- Managing these high-risk pregnancies requires a multidisciplinary approach to ensure both maternal and graft health, focusing on the specific needs of patients with kidney, liver, heart, or lung transplants.
Article Abstract
Over the past 40 years, the success of organ transplantation has increased such that female solid organ transplant recipients are able to conceive and carry pregnancies successfully to term. Anesthesiologists are faced with the challenge of providing anesthesia care to these high-risk obstetric patients in the peripartum period. Anesthetic considerations include the effects of the physiologic changes of pregnancy on the transplanted organ, graft function in the peripartum period, and the maternal side effects and drug interactions of immunosuppressive agents. These women are at an increased risk of comorbidities and obstetric complications. Anesthetic management should consider the important task of protecting graft function. Optimal care of a woman with a transplanted solid organ involves management by a multidisciplinary team. In this focused review article, we review the anesthetic management of pregnant patients with solid organ transplants of the kidney, liver, heart, or lung.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1213/ANE.0000000000001391 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!