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العنوان
Anaesthesia for Obstructive Sleep Apnea with pregnancy /
المؤلف
Youssef, Hadeer Mosadek Mohamed.
هيئة الاعداد
باحث / Hadeer Mosadek Mohamed Youssef
مشرف / Bahaa Eldeen Ewees Hassan
مشرف / Hadil Magdy Abdel Hamid
مناقش / Marwa Ahmed Khairy
تاريخ النشر
2017.
عدد الصفحات
144 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
التخدير و علاج الألم
تاريخ الإجازة
1/1/2017
مكان الإجازة
جامعة عين شمس - كلية الهندسة - الهندسة المدنية والانشائية
الفهرس
Only 14 pages are availabe for public view

from 144

from 144

Abstract

OSA is significantly associated with perinatal complications including pregnancy hypertension, caesarean section, thromboembolism, preterm birth, 5-minute Apgar less than 7, admission to neonatal intensive care & congenital malformations.
Very few parturients are diagnosed during pregnancy. If the diagnosis is verified, perioperative CPAP therapy may reduce morbidity in both the mother and baby. Parturients with a low risk of OSA with optimized comorbid conditions may safely receive labour epidural analgesia and may undergo surgery with perioperative OSA precautions. Parturients with a high risk or moderate to severe OSA should be optimised before parturition & regional anaesthesia is preferred.If general anaesthesia is inevitable, special precautions should be taken especially management of difficult intubation. Finally, appropiate postoperative care should be applied to each case according its consequences.
Keywords: Polysomnogram - Maximal inflation pressure - Positive end-expiratory pressure