ملاحظات بیهوشی حوالی زایمان دربیماران سرطانی: یک مطالعه ی مروری

ملاحظات بیهوشی حوالی زایمان دربیماران سرطانی: یک مطالعه ی مروری

کد: G-1044

نویسندگان: فاطمه شفیعی © ℗

زمان بندی: پنجشنبه ۱۴۰۲/۰۹/۱۶ ۱۶:۳۰ بر روی یونیت Panel C

برچسب:

دانلود: دانلود پوستر

خلاصه مقاله:

خلاصه مقاله

Introduction: As the years pass, more women are deciding to delay childbirth to later ages, thereby leading to a heightened incidence of cancer diagnosis during pregnancy. Breast cancer, cervical cancer, lymphoma, ovarian cancer, and melanoma are the most frequently observed types of cancer during pregnancy. Pregnant women diagnosed with cancer are more likely to experience planned delivery, cesarean section, and preterm birth. This review will focus on anesthetic considerations in cancer patients during labor and delivery. Materials and methods: The method used for conducting this study was a narrative review. For this purpose, we performed a search through PubMed, Web of Science, SID, and Google Scholar from 2012 to 2023. The keywords Cancer, Pregnancy, Cesarean section, Anesthesia, and Obstetrical management were used in English and Persian sources. Following an appraisal of the inclusion criteria and article quality, a total of 134 articles were screened and 30 of them were deemed eligible for inclusion in the present study. Results: According to studies conducted in various articles, regional anesthesia is commonly used for labor and delivery in symptomatic cancer patients. Nevertheless, it should be avoided in those with leukemia, brain tumors, or primary cancer of the bone or vertebral metastases. Those patients who have previously undergone cancer treatment and exhibit no symptoms may be managed similarly as healthy patients. It is important to note that there are life-threatening risks associated with mediastinal tumors or metastases. When brain tumors cause an increase in intracranial pressure, it is advisable to use general anesthesia to reduce the risk of cerebral herniation. Conclusion: Based on the results, anesthesia during labor and delivery should be adjusted in accordance with the specific type of cancer, the intensity of symptoms, and any systemic involvement. Special consideration is recommended to be given when delivering patients with certain types of cancer such as lymphomas, leukemias, mediastinal and brain tumors, as well as metastases to the vertebral column, lungs, or liver. It seems that Preoperative optimization, intraoperative planning, and hemodynamic management all contribute to enhancing the outcomes for both mother and fetus.

کلمات کلیدی

Keywords: Cancer, Pregnancy, Cesarean section, Anesthesia, Obstetrical management

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