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Anesthesiology1763 papers

Obstetric anesthesia with cardiac complications

Last edited: 4/23/2026

Overview

Obstetric anesthesia management becomes particularly complex in cases involving maternal cardiac complications, requiring careful consideration to balance maternal and fetal safety.

Diagnosis

  • Clinical Assessment: Comprehensive evaluation of cardiac history, symptoms, and physical examination 17.
  • Electrocardiogram (ECG): Essential for identifying arrhythmias, conduction abnormalities, and ischemia 17.
  • Echocardiography: Useful for assessing cardiac function, valve status, and structural abnormalities 17.
  • Cardiac Biomarkers: Troponin levels may help in diagnosing myocardial injury 17.
  • Management

  • Anesthetic Techniques: Regional anesthesia (e.g., epidural, spinal) preferred to minimize hemodynamic instability 17.
  • Invasive Monitoring: Consider central venous access and arterial lines for close hemodynamic control 17.
  • Inotropic Support: Use of inotropes like dobutamine or milrinone for managing hypotension and heart failure 17.
  • Fluid Management: Careful fluid administration to avoid volume overload in patients with heart failure 17.
  • Vasoactive Agents: Phenylephrine for managing hypotension without compromising uteroplacental perfusion 17.
  • Close Monitoring: Continuous ECG, pulse oximetry, and invasive blood pressure monitoring 17.
  • Special Populations

  • Pregnancy: Increased cardiac demand necessitates vigilant monitoring and tailored anesthetic approaches 17.
  • Comorbidities: Patients with pre-existing cardiac conditions require individualized care plans to mitigate risks 17.
  • Key Recommendations

  • Utilize Regional Anesthesia: Preferred over general anesthesia to reduce hemodynamic fluctuations (Evidence: Strong 17).
  • Implement Invasive Hemodynamic Monitoring: Essential for precise management of blood pressure and cardiac output (Evidence: Strong 17).
  • Tailored Fluid and Inotropic Support: Adjust based on individual cardiac function to prevent complications (Evidence: Moderate 17).
  • Continuous Monitoring: Essential for early detection of cardiac events during labor and delivery (Evidence: Strong 17).
  • Individualized Care Plans: Critical for patients with pre-existing cardiac conditions to optimize outcomes (Evidence: Moderate 17).
  • References

    Showing 100 most recent of 1098 indexed papers.

    1 Skibinska M, Sylwestrzak O, Krekora M, Zych-Krekora K. The history of obstetric forceps - evolution of the instrument that transformed obstetrics. Ginekologia polska 2026. link 2 Parris D, Xue Y, Navaseelan T, Salvadores Fernandez C, Javidan M, Gupta R et al.. Characterising Forces Applied During the Simulated Management of Impacted Fetal Head: Pre-Clinical Methods Study. BJOG : an international journal of obstetrics and gynaecology 2026. link 3 Danieli E. Obstetrics during the French Revolution: political and medical controversies around the new obstetrical surgery. Annals of science 2026. link 4 Dos Santos GG. Using artificial intelligence as a technological tool in gynecologic and obstetric health: A narrative literature review. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 2026. link 5 Barnova K, Martinek R, Horakova J, Simetka O, Vilimkova Kahankova R. Electrohysterography in modern obstetrics: Advances in signal processing, machine learning, and clinical applications. Artificial intelligence in medicine 2026. link 6 Grasso I, Barranco R, Ferrero S, Ventura F. Medico-legal litigation in obstetrics and gynecology: an eleven-year case series and comparison of out-of-court resolution and legal proceedings. European journal of obstetrics, gynecology, and reproductive biology 2026. link 7 Toutou EMS, Taha WS, Abdelmoaty MA. Knowledge, attitudes, and practices of operative vaginal birth among obstetric providers in Egypt. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 2026. link 8 Chen PF, Dexter F. Comparing multiple people each to the grand mean of log-normally distributed endpoints. Journal of clinical anesthesia 2026. link 9 Urman RD, Boden S, Ross JM, Pimentel MPT. Medication Safety in Anesthesiology: A Closed-Claims Analysis. Journal of patient safety 2026. link 10 Floris R, Dell'Era G, Pimpini L, Ghiglieno C, Fais LM, Faggioni A et al.. Comparison between thoracic ultrasound and chest x-ray in detection of non-infective early complications of cardiac implantable electronic devices implantation (CRUSADERS study). European journal of clinical investigation 2026. link 11 Imaoka S, Yoshioka D, Saito S, Kawamura T, Kawamura A, Yajima S et al.. Inflow Part of Impella 5.0 or 5.5 Close to the Left Ventricular Structure Is a Risk Factor for Impella-Related Adverse Event. ASAIO journal (American Society for Artificial Internal Organs : 1992) 2026. link 12 Melanie Catanchin CS, Bell J, Labens R, Quinn CT. Tachycardia and muscle tremors following intravenous administration of detomidine to a horse undergoing standing surgery. Australian veterinary journal 2026. link 13 Ayme O, Chapalain E, Romuald JJ, Langeron O, Caillard A. Clinical practices in hemodynamic management of post-induction hypotension in chronic hypertension: A study of certified registered nurse anesthetists' strategies. Anaesthesia, critical care & pain medicine 2026. link 14 Paranjape VV, Regenbaum T, Link S, Magee A, Liu CC, Cremer J. Evaluation of cardiac output and Hypotension Prediction Index using HemoSphere Acumen IQ Monitoring System in sevoflurane-anesthetized dogs. Veterinary anaesthesia and analgesia 2026. link 15 Wattanachayakul P, Yanpiset P, Kulthamrongsri N, Prasitsumrit V, Lo KB, Kewcharoen J et al.. Prognostic values of atrial high-rate episodes on mortality risks in CIED patients. Journal of cardiology 2025. link 16 Greene AT, Zuber MJ, Nitsche J, Newman M, Brost B. A randomized trial of clustered vs spaced simulation in forceps-assisted vaginal deliveries. American journal of obstetrics & gynecology MFM 2025. link 17 Ende HB, Bateman BT. Key Management Considerations in Obstetric Anesthesiology. Obstetrics and gynecology 2025. link 18 Quennelle S, Malekzadeh-Milani S, Garcelon N, Faour H, Burgun A, Faviez C et al.. Active learning for extracting rare adverse events from electronic health records: A study in pediatric cardiology. International journal of medical informatics 2025. link 19 Chandraharan E, Gracia Perez-Bonfils A, Muhammad S, Deshpande D, Sukumaran S, Mappa I. Implementation of a scientific approach to intrapartum care: the Emergency Caesarean Section-Decision Optimising Tool (EC-DOT) to eliminate avoidable harm to mothers and babies. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians 2025. link 20 Rebouché R. Training by Travel: Medical Education for OB/GYN Residents after . American journal of law & medicine 2025. link 21 Turner RR, Hart JK, Sanga E, Shrestha AB, Gurung T, Murambi P et al.. Assessing behavioural influences and behavioural changes following Safer Anaesthesia From Education (SAFE) Obstetrics training in Africa and Asia. International journal of obstetric anesthesia 2025. link 22 Allott H, Smith A, White S, Nyaoke I, Evans O, Oduor MO et al.. Improving capacity for advanced training in obstetric surgery: evaluation of a blended learning approach. BMC medical education 2025. link 23 Cersosimo G, Landolfi L. De-normalizing Obstetric Violence in Italy: Digital Storytelling as Source of Information and Identification. Violence against women 2025. link 24 Pepper M, Campbell OMR, Levin K, Stafford R, Day LT, Tripathi V et al.. Surgical indicators for obstetrics and family planning in routine health information systems: a landscape analysis. Health policy and planning 2025. link 25 Ayazbekov A, Ayazbekova A, Kulbayeva S, Terlikbayeva A, Taskynova G. Analysis of cases of near misses in obstetric-gynaecological practice. Archives of gynecology and obstetrics 2025. link 26 Tairy D, Weiner E, Engel A, Paz A, Ganor Paz Y. The 5-year results of an institutional shadowing program aiming to train new senior "obstetricians on-call". European journal of obstetrics, gynecology, and reproductive biology 2025. link 27 Keskin F. A qualitative and quantitative cross-sectional study on the past, present, and future of vaginal delivery: Turkey. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 2025. link 28 Chernick RE, Desai MS. Religious objections to obstetric practice? A historical study of obstetric anaesthesia in mid-19th century France. Anaesthesia and intensive care 2025. link 29 Anderson BL, Sawyer J, Palmer A, Andrilla CHA, Beeson A. Retaining CRNAs who provide obstetrics services in rural communities: Results from a national survey. The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association 2025. link 30 Collings R, Potter C, Gebski V, Janda M, Obermair A. The impact of surgical complications on obstetricians' and gynecologists' well-being and coping mechanisms as second victims. American journal of obstetrics and gynecology 2025. link 31 Dandona JM. (Re)producing Reproduction: Obstetrical Training Models and Methods, 1880-1900. Bulletin of the history of medicine 2025. link 32 Machado MHPT. On the consequences of childbirth: obstetrics/gynaecology, comparative anatomy and racial theories in 19th century France and Brazil. Medical humanities 2025. link 33 Geary M, Ruiter PJA, Yasseen AS. Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. Journal of interprofessional care 2025. link 34 Zhang S, Li L, Wang F, Wang H, Wang K, Zhang X et al.. Characteristics and risk factors for medical malpractice among obstetric and gynecologic physicians in China. BMC health services research 2025. link 35 Ruiz AM, Kraus MB, Arendt KW, Schroeder DR, Sharpe EE. Artificial intelligence-created personal statements compared with applicant-written personal statements: a survey of obstetric anesthesia fellowship program directors in the United States. International journal of obstetric anesthesia 2025. link 36 Gorbaty B, Escuardo EV, Gherciuc A, Gherciuc S, Perry TE. Enhancing Transesophageal Echocardiography Training in Cardiac Anesthesia Fellows Using Wearable Eye-Tracking Technology. Journal of cardiothoracic and vascular anesthesia 2025. link 37 Eshel R, Berman A, Weiniger CF. A decade of obstetric anaesthetic case reports publications: a focused review. International journal of obstetric anesthesia 2025. link 38 Bucklin BA, Hawkins JL, Asdigian NL, Kennerley V, Pattee J, Traynor AJ. Obstetric Anesthesia Workforce Survey: Forty-year Update. Anesthesiology 2025. link 39 Cai S, Taverner F. Supervision of Pediatric Anesthesia After-Hours: A Survey of Pediatric Anesthetists in Australia and New Zealand. Paediatric anaesthesia 2025. link 40 Piersa AP, Thomas AT, Vazquez R. Interdisciplinary in situ simulation in non-operating room anesthesia. Current opinion in anaesthesiology 2025. link 41 Grabarczyk Ł. Advances in Neuromuscular Monitoring Techniques in Anesthesiology: A 2025 Perspective. Medical science monitor : international medical journal of experimental and clinical research 2025. link 42 Chau A, Preston R, Wieczorek PM, McKeen DM, Chow L, Edwards W et al.. Exploring clinical conundrums in obstetric anesthesia through interactive polls and panel discussion: insights from Canadian obstetric anesthesiology experts. Canadian journal of anaesthesia = Journal canadien d'anesthesie 2025. link 43 Aoyama K, Yang A, Pinto R, Ray JG, Hill A, Scales DC et al.. Using multi-level regression to determine associations and estimate causes and effects in clinical anesthesia due to patient, practitioner and hospital or health system practice variability. Journal of anesthesia 2025. link 44 Donovan AL, Chang J, Sinskey J, Schwartz R. Understanding professional disparities in academic anesthesiology: a single-center gender-based survey study. BMC anesthesiology 2025. link 45 Mittnacht AJC, Garcia CSR, Cadwell JB, Huang J, Sofjan I, ElTahan MR et al.. Global Cardiac Anesthesia Workforce Assessment: A Cross-Sectional Observational Survey Study. Journal of cardiothoracic and vascular anesthesia 2025. link 46 Muniz J, Gonçalves Neto AO, Morais BAAH, Suciu-Bogdan C, Ferreira D, Braghiroli J et al.. Fasting Versus Non-Fasting Before Cardiac Catheterization: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions 2025. link 47 van Smaalen AM, de Wijs CJ, Hoeks SE, Mik EG, Harms FA. The Effect of Deep Sedation with High Flow Nasal Oxygen Therapy on the Transcutaneous CO. Sensors (Basel, Switzerland) 2025. link 48 Hofheins J, Provenzano C, Ma B, Le JM, Powell K, Morlandt A. Is Procedural Anesthesia Safety Similar Between Residents and Attending Surgeons?. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons 2025. link 49 Chen J, Wang Z, Wei L, Mao S. Assessing the safety of midazolam: A comprehensive analysis of adverse events from FAERS. Toxicology in vitro : an international journal published in association with BIBRA 2025. link 50 Liu H, Li Z, Yan S, Ming S. Adverse event signal analysis of remimazolam using the FDA adverse event reporting system database. Acta anaesthesiologica Scandinavica 2025. link 51 Brook K, Song SY, Richards J, Harrington L, Okyere-Tawiah NK, Gonzalez RM. Anesthesia-Specific Software Module for Voluntary Adverse Event Reporting. Journal of patient safety 2025. link 52 Lai C, Bao Z, Chen Z, Wang R. Pharmacovigilance assessment of ropivacaine safety using FAERS data (2004-2024). Medicine 2025. link 53 Duttala SV, Kumari K, Kumari V, Meshram TM, Sharma A, Sethi P et al.. Dexamethasone for prevention of spinal hypotension during caesarean delivery: a randomised controlled trial. International journal of obstetric anesthesia 2025. link 54 Wan J, Jin X, Chen J, Peng K, Xie J. RESPIRATORY VARIATION OF VELOCITY TIME INTEGRAL AND PEAK VELOCITY OF LEFT VENTRICULAR OUTFLOW TRACT FOR PREDICTING HYPOTENSION AFTER INDUCTION OF GENERAL ANESTHESIA IN ELDERLY PATIENTS. Shock (Augusta, Ga.) 2025. link 55 Kaye DM, Kure CE, Wallinder A, McGiffin DC. Limitations of the inotrope score use as a measure of primary graft dysfunction. The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation 2025. link 56 Juárez-Ramírez C. Challenges for implementing culturally competent obstetric services in an Indigenous context in Mexico. Ciencia & saude coletiva 2024. link 57 Badejoko OO, Awowole IO, Ubom AE, Olayemi OJ. Should obstetric mortality be an inalienable right?. Postgraduate medical journal 2024. link 58 Johnson J, Brown C, Lee G, Morse K. Accuracy of a Proprietary Large Language Model in Labeling Obstetric Incident Reports. Joint Commission journal on quality and patient safety 2024. link 59 Indraccolo U, Castigliego AC, Fedeli P. A denigration curve to delineate the spread of communication about obstetric staff errors in Italy and its practical application. La Clinica terapeutica 2024. link 60 Oyelese Y, Grünebaum A, Chervenak F. Respect for history: an important dimension of contemporary obstetrics and gynecology. Journal of perinatal medicine 2024. link 61 Schaeffer M, Faisant MC, Buisson A, Vanneaux M, Hoffmann P, Riethmuller D. A new classification allowing assessment of instrumental vaginal-birth practices. BMC pregnancy and childbirth 2024. link 62 Parris DL, Jaufuraully S, Opie J, Siassakos D, Napolitano R. A national survey of clinicians' opinions of rotational vaginal births. European journal of obstetrics, gynecology, and reproductive biology 2024. link 63 Martins JG, Waller J, Horgan R, Kawakita T, Kanaan C, Abuhamad A et al.. Point-of-Care Ultrasound in Critical Care Obstetrics: A Scoping Review of the Current Evidence. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 2024. link 64 Gonzalez AK, Butler JR. Obstetrics and Gynecologic Hospitalists and Their Focus: Impact on Safety and Quality Metrics. Obstetrics and gynecology clinics of North America 2024. link 65 Nogueira GC, Santana EFM, Annicchino G, Callado GY, Haddad RF, Gomes MTV et al.. Navigating obstetric bad news: Insights from tertiary care medical teams. Patient education and counseling 2024. link 66 Jaufuraully S, Parris D, Opie J, Siassakos D. A new course on assisted rotational birth and complex caesarean section - Mixed methods evaluation of Art & Craft. European journal of obstetrics, gynecology, and reproductive biology 2024. link 67 Brook K, Wilde M, Vannucci A, Agarwala AV. Beyond adverse events in anesthesiology: 'unanticipated events' and strategies for improved reporting. Current opinion in anaesthesiology 2024. link 68 Stewart CH, Carter J, Purcell N, Balkin M, Birch J, Pearce GC et al.. Does gender still matter in the pursuit of a career in anaesthesia?. 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Anesthesiologists and Community Engagement: A Scoping Review of the Literature. Anesthesia and analgesia 2024. link 75 Chen F, Belgique ST, Canter C, Boscardin CK, Willie C, Mitchell JD et al.. Unprofessionalism in anesthesiology: A qualitative study on classifying unprofessional behavior in anesthesiology residency education. Journal of clinical anesthesia 2024. link 76 Thakrar SP, Kim C, Suarez-Winowiski O, Navarrete SB, Potter KF, Prasanna P et al.. A Process-Based Standardization of an Intraoperative Escalation Protocol in Anesthesiology. Anesthesia and analgesia 2024. link 77 Mathis M, Steffner KR, Subramanian H, Gill GP, Girardi NI, Bansal S et al.. Overview and Clinical Applications of Artificial Intelligence and Machine Learning in Cardiac Anesthesiology. Journal of cardiothoracic and vascular anesthesia 2024. link 78 Ortner CM, Sheikh M, Athar MW, Padilla C, Guo N, Carvalho B. Feasibility of Focused Cardiac Ultrasound Performed by Trainees During Cesarean Delivery. 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    Original source

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      The history of obstetric forceps - evolution of the instrument that transformed obstetrics.Skibinska M, Sylwestrzak O, Krekora M, Zych-Krekora K Ginekologia polska (2026)
    2. [2]
      Characterising Forces Applied During the Simulated Management of Impacted Fetal Head: Pre-Clinical Methods Study.Parris D, Xue Y, Navaseelan T, Salvadores Fernandez C, Javidan M, Gupta R et al. BJOG : an international journal of obstetrics and gynaecology (2026)
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      Using artificial intelligence as a technological tool in gynecologic and obstetric health: A narrative literature review.Dos Santos GG International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics (2026)
    5. [5]
      Electrohysterography in modern obstetrics: Advances in signal processing, machine learning, and clinical applications.Barnova K, Martinek R, Horakova J, Simetka O, Vilimkova Kahankova R Artificial intelligence in medicine (2026)
    6. [6]
      Medico-legal litigation in obstetrics and gynecology: an eleven-year case series and comparison of out-of-court resolution and legal proceedings.Grasso I, Barranco R, Ferrero S, Ventura F European journal of obstetrics, gynecology, and reproductive biology (2026)
    7. [7]
      Knowledge, attitudes, and practices of operative vaginal birth among obstetric providers in Egypt.Toutou EMS, Taha WS, Abdelmoaty MA International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics (2026)
    8. [8]
      Comparing multiple people each to the grand mean of log-normally distributed endpoints.Chen PF, Dexter F Journal of clinical anesthesia (2026)
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      Medication Safety in Anesthesiology: A Closed-Claims Analysis.Urman RD, Boden S, Ross JM, Pimentel MPT Journal of patient safety (2026)
    10. [10]
      Comparison between thoracic ultrasound and chest x-ray in detection of non-infective early complications of cardiac implantable electronic devices implantation (CRUSADERS study).Floris R, Dell'Era G, Pimpini L, Ghiglieno C, Fais LM, Faggioni A et al. European journal of clinical investigation (2026)
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      Inflow Part of Impella 5.0 or 5.5 Close to the Left Ventricular Structure Is a Risk Factor for Impella-Related Adverse Event.Imaoka S, Yoshioka D, Saito S, Kawamura T, Kawamura A, Yajima S et al. ASAIO journal (American Society for Artificial Internal Organs : 1992) (2026)
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      Tachycardia and muscle tremors following intravenous administration of detomidine to a horse undergoing standing surgery.Melanie Catanchin CS, Bell J, Labens R, Quinn CT Australian veterinary journal (2026)
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      Clinical practices in hemodynamic management of post-induction hypotension in chronic hypertension: A study of certified registered nurse anesthetists' strategies.Ayme O, Chapalain E, Romuald JJ, Langeron O, Caillard A Anaesthesia, critical care & pain medicine (2026)
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      Evaluation of cardiac output and Hypotension Prediction Index using HemoSphere Acumen IQ Monitoring System in sevoflurane-anesthetized dogs.Paranjape VV, Regenbaum T, Link S, Magee A, Liu CC, Cremer J Veterinary anaesthesia and analgesia (2026)
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      Prognostic values of atrial high-rate episodes on mortality risks in CIED patients.Wattanachayakul P, Yanpiset P, Kulthamrongsri N, Prasitsumrit V, Lo KB, Kewcharoen J et al. Journal of cardiology (2025)
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      Key Management Considerations in Obstetric Anesthesiology.Ende HB, Bateman BT Obstetrics and gynecology (2025)
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      Active learning for extracting rare adverse events from electronic health records: A study in pediatric cardiology.Quennelle S, Malekzadeh-Milani S, Garcelon N, Faour H, Burgun A, Faviez C et al. International journal of medical informatics (2025)
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      Assessing behavioural influences and behavioural changes following Safer Anaesthesia From Education (SAFE) Obstetrics training in Africa and Asia.Turner RR, Hart JK, Sanga E, Shrestha AB, Gurung T, Murambi P et al. International journal of obstetric anesthesia (2025)
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