الفهرس 
CLASSIFICATION AND PATHOPHYSIOLOGY OF CONGENITAL HEART DISEASESOnly 14 pages are availabe for public view
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Abstract
T
he current status of a parturient with congenital cardiac disease has become safer with improvement in treatment and management.
Patients with congenital cardiac disease were strongly discouraged in the past from becoming pregnant, now with vast improvement in cardiac care and advances in reproductive technology, more women with cardiac disease are planning pregnancy.
The management of parturients with congenital cardiac ailments is not anymore “one man’s show”. The cardiologist, obstetrician and the anesthesiologist should jointly analyze and discuss the congenital cardiac problem and to make a rational choice of the management.
The skill and experience of the anesthesiologist on common potential perioperative problems, the ability to respond quickly to hemodynamic disturbances are far more important than the specific technique or agent used.
In normal labor, timely provision of labor analgesia and adequate peripartum monitoring of hemodynamic parameters is essential for the reduction of maternal morbidity and mortality.
And concerning cesarean section, the advantage of regional anesthesia is that the patient can report any symptoms as palpitations, chest pain and shortness of breath, so that prompt action can be taken.
Regional anesthesia should be established with low dose of LA, and an opioid. The induction of the epidural should be slow to prevent acute episodes of hypotension.
If general anesthesia is required, the standard technique of rapid sequence induction is employed, which does little to blunt the stress response.