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M9490632.TXT
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1994-09-24
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Document 0632
DOCN M9490632
TI HIV infection in the parturient.
DT 9411
AU Halpern S; Preston R; University of Toronto, Ontario, Canada.
SO Int Anesthesiol Clin. 1994 Spring;32(2):11-30. Unique Identifier :
AIDSLINE MED/94341939
AB As the incidence of AIDS continues to increase in the female population,
there will be more cases of HIV-positive women in the obstetric suite
requiring anesthesia services. Many may be asymptomatic, but there will
be patients with active opportunistic infections and malignancies who
may or may not have been treated. The impact of both the disease AIDS
and the drugs used to treat it on anesthetic technique can be
significant. Hematological, neurological, respiratory, and immune
dysfunction can be expected in a significant proportion of these women.
Universal precautions should be utilized for all deliveries regardless
of known HIV status. The ubiquitous presence of blood and amniotic fluid
during labor and delivery mandate the use of gloves, gowns, and eye
protection in the obstetric suite to avoid transmission of HIV to health
care workers. Transmission to the newborn during delivery can be
minimized by avoidance of skin and mucous membrane trauma and careful
removal of secretions and blood. Infected parturients should be
carefully assessed for neurological and hematological dysfunction prior
to the use of regional anesthesia, and anesthesiologists must be aware
of the potential toxicities of therapeutic drug treatment and their
impact on anesthesia.
DE *Acquired Immunodeficiency Syndrome/DRUG THERAPY/IMMUNOLOGY/ PREVENTION
& CONTROL/TRANSMISSION Adult Anesthesia, Obstetrical
Anesthetics/PHARMACOLOGY Female Human *HIV Infections/DRUG
THERAPY/IMMUNOLOGY/PREVENTION & CONTROL/ TRANSMISSION Infant, Newborn
Pregnancy *Pregnancy Complications, Infectious/DRUG THERAPY/IMMUNOLOGY
JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).