Related Experiment Video

Updated: Sep 13, 2025

Delivery of Cardioactive Therapeutics in a Porcine Myocardial Infarction Model
07:20

Delivery of Cardioactive Therapeutics in a Porcine Myocardial Infarction Model

Published on: February 10, 2023

1.4K

Anesthetic Management for Delivery in Parturients with Heart Disease: A Narrative Review

Shahab Ahmadzadeh1, Drake P Duplechin2, Paris D Bailey3

  • 1Department of Anesthesiology, Louisiana State University Health Sciences Center at Shreveport, Shreveport, LA 71103, USA.

Biomedicines
|July 29, 2025
PubMed

Insights

Managing cardiac disease in pregnancy requires careful anesthetic planning for cesarean delivery. Individualized, multidisciplinary care is crucial for optimizing maternal and fetal outcomes in patients with heart conditions.

Area of Science:

  • Anesthesiology
  • Cardiology
  • Obstetrics

Background:

  • Cardiac disease is a major cause of maternal mortality.
  • Pregnancy exacerbates cardiac conditions due to physiological changes.
  • Increased survival leads to more pregnant patients with congenital heart disease.

Purpose of the Study:

  • To review anesthetic strategies for cesarean delivery in pregnant patients with cardiac disease.
  • To emphasize individualized, multidisciplinary care approaches.
  • To guide anesthetic planning for improved maternal-fetal outcomes.

Main Methods:

  • Review of general and regional anesthesia techniques.
  • Discussion of intraoperative monitoring and hemodynamic goals.
  • Emphasis on preoperative risk stratification and team coordination.

Main Results:

  • Anesthetic management requires balancing physiological changes with cardiac status.
  • Individualized strategies are key for managing hemodynamic stability.
  • Multidisciplinary collaboration is essential for patient safety.

Conclusions:

  • Evidence-based anesthetic planning is vital for pregnant patients with cardiac disease.
  • Standardized protocols can improve maternal-fetal outcomes.
  • Anesthesiologists must coordinate closely with cardiology and obstetric teams.

Keywords:
cardiac diseasecesarean sectionhemodynamic changesmaternal outcomesobstetric anesthesiaparturientpregnancy

More Related Videos

Anesthesia and Intubation of Preadolescent Mouse Pups for Cardiothoracic Surgery09:47

Anesthesia and Intubation of Preadolescent Mouse Pups for Cardiothoracic Surgery

Published on: June 2, 2022

2.5K
Implantation of Electroencephalogram and Electrocardiogram Telemetry Devices in Neonatal Rabbit Kits06:46

Implantation of Electroencephalogram and Electrocardiogram Telemetry Devices in Neonatal Rabbit Kits

Published on: February 28, 2025

410

Related Concept Videos

Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
499
General Anesthesia: Overview01:24

General Anesthesia: Overview

Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
283
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
199
Drug Delivery: Enteral Route01:18

Drug Delivery: Enteral Route

The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
729
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
28
Inhalational Anesthetics: Overview01:20

Inhalational Anesthetics: Overview

Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
515