Features of anesthesia in pregnant women with cardiac disorders
Abstract
М. Amosov National institute of Cardio-vascular surgery jointly with the Institute of Pediatrics, Obstetrics and Gynecology, in December 2013, as recommended by Guideline, created a multidisciplinary team providing cardiac care to pregnant women with cardiac disorders.
The purpose of the work. The main goal of our work is to improve the provision of cardiac care for pregnant women and fetuses with cardiac disease. Compliance with the principles of the multidisciplinary team. Completion and implementation of the protocols of hi-level care for pregnant women and fetuses with diseases of the cardiovascular system.
Materials and methods. From December 2013 to April 2017 in М.Amosov National institute of Cardio-vascular surgery was hospitalized 64 and consulted 1,567 pregnant women with cardiac disease. During the work of the multidisciplinary team were operated at different stages of pregnancy, 24 pregnant women. 8 surgical interventions were made without the use of cardiopulmonary bypass machine and 16 with.
Results and discussion. The mortality rate of pregnant women during cardiac surgery is no different from mortality, non-pregnant women of the same age, but remains high incidence of complications and fetal mortality.
Conclusions. Thanks to the diligent and coordinated work of a multidisciplinary team of the М. Amosov National insti-tute of Cardio-vascular surgery and the Institute of pediatrics, obstetrics and gynecology was provided 64 highly qualified care for pregnant women with cardiac disease. Created and implemented treatment protocols. In cardiac surgery anesthesia in pregnant pivotal selected intrauterine fetus.
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