Anesthetic and Perioperative Management

  • Goran Augustin


In order to provide safe anesthesia for the mother and fetus, the following goals should be reached: (1) optimization and maintenance of normal maternal physiological function, (2) optimization and maintenance of uteroplacental blood flow and oxygen delivery, (3) avoidance of unwanted drug effects on the fetus, (4) avoidance of stimulating the myometrium (oxytocic effects), (5) avoidance of maternal awareness during general anesthesia, and (6) use of regional anesthesia, if possible. Antibiotics and thromboprophylaxis are the most common medications administered for acute abdomen during pregnancy. Antibiotics should be administered according to the FDA drug classes. Anesthetic management is especially difficult in patients with abdominal trauma or polytrauma when in addition to hemorrhagic shock there are problems with patient’s airway management. Preoperative and postoperative fetal monitoring is important for early recognition of fetal distress which influences the timing and type of combined obstetric and surgical intervention.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Goran Augustin
    • 1
    • 2
  1. 1.School of Medicine University of ZagrebZagrebCroatia
  2. 2.Department of SurgeryUniversity Hospital Centre ZagrebZagrebCroatia

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