Anaesthetic management of parturients with univentricular congenital heart disease and the Fontan operation

Highlights • Eight women with the Fontan operation delivered 14 live babies between 1994 and 2015. • Fontan physiology is described in detail. • A neuraxial catheter technique was used in 86% and no patient had general anaesthesia. • Postpartum haemorrhage occurred in 50%. • Complications: arrhythmi...

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Bibliographic Details
Published in:	International journal of obstetric anesthesia Vol. 28; pp. 83 - 91
Main Authors:	Monteiro, R.S, Dob, D.P, Cauldwell, M.R, Gatzoulis, M.A
Format:	Journal Article
Language:	English
Published:	Netherlands Elsevier Ltd 01-12-2016
Subjects:	Adult Adult congenital heart disease Analgesia, Obstetrical - methods Anesthesia & Perioperative Care Anesthesia, Obstetrical - methods Cesarean Section - statistics & numerical data Delivery, Obstetric - methods Female Fontan circulation Fontan Procedure Heart Defects, Congenital - surgery Humans Obstetrics and Gynecology Postpartum Hemorrhage - epidemiology Pregnancy Pregnancy Complications, Cardiovascular - epidemiology Young Adult Pregnancy Fontan circulation Adult congenital heart disease
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Summary:	Highlights • Eight women with the Fontan operation delivered 14 live babies between 1994 and 2015. • Fontan physiology is described in detail. • A neuraxial catheter technique was used in 86% and no patient had general anaesthesia. • Postpartum haemorrhage occurred in 50%. • Complications: arrhythmia (29%), chest pain (14%), prematurity (71%), IUGR (57%).
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0959-289X 1532-3374
DOI:	10.1016/j.ijoa.2016.08.004