Professional paper
https://doi.org/10.20471/acc.2023.62.s1.17
What is the Relationship between a Gynecologist/Obstetrician and the Airway?
Dubravko Habek
orcid.org/0000-0002-7675-7064
; Department of Gynecology and Obstetrics, Merkur University Hospital, Zagreb, Croatia; School of Medicine, Catholic University of Croatia, Zagreb, Croatia
Antonio Ivan Miletić
; Department of Gynecology and Obstetrics, Sveti Duh University Hospital, Zagreb, Croatia
Filip Medić
; Department of Gynecology and Obstetrics, Sveti Duh University Hospital, Zagreb, Croatia
Abstract
Physiological changes in pregnancy as part of biohumoral and morphological
changes (hyperemia, edema, hypersecretion) influence the possible problems in obstetric anesthesia.
These changes by themselves, and particularly aggravated by acute or chronic gestational or non-gestational
comorbidity, increase the risk of aspiration of gastric contents, failed intubation, esophageal
intubation, inadequate ventilation, and respiratory failure. The types of premedication, anesthesia and
techniques of anesthesia are evident from medical historiography. Almost obligatory promethazine
and atropine was given intravenously either in the delivery room or on the operating table immediately
before the induction of anesthesia in a dose of 0.5 mg in partuients of average body weight. Atropine
has been a favorite premedicant for decades, given its pharmacological properties, especially its
antisialogenic effect and absence of a depressant effect on the fetoplacental unit, but today it is rarely
used. Nasal decongestants before surgery are not recommended but in cases of severe rhinitis, atropine,
promethazine, or topical decongestants may be used.
Keywords
Airway; Obstetrics; Obstetric anesthesiology; High-risk parturient; Pregnancy
Hrčak ID:
307517
URI
Publication date:
1.4.2023.
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