Pulmonary hypertension is just afraid of this hypercoagulant state. If hypercoagulant, it is prone to pulmonary embolism and will further aggravate right heart failure.

Sometimes, anticoagulant injections are required to deal with this disease. The most common abdominal injection is low molecular weight heparin sodium.

Pregnant and childbirth should be treated with special treatment. For example, patients with this surgery are hypercoagulant during pregnancy, which causes the original mechanical valve to have thrombosis and need to undergo heart surgery as soon as possible.

How to deal with these contradictions. It is best to avoid severe bleeding during the operation of the mother. As Doctor said, on the one hand, obstetricians should shorten the time of cesarean section as much as possible so that they can take over. On the other hand, anesthesiologists should play a role in protecting the mother during the operation and try to help the mother survive the period of cesarean section.

After receiving a call from Du Yeqing, anesthesiologist Dr. Mo was present.

Dr. Mo first introduced to the obstetrician and gynecologist: "The anesthesia plan should be planned according to the existing mature and effective plan. General anesthesia is used for heart surgery, and can cesarean section be used for continuous epidural anesthesia or continuous epidural anesthesia."

Why don’t general anesthesia be needed for cesarean section?

In the past, anesthesia has always believed that general anesthesia has many adverse factors for cesarean section. The biggest disadvantage is that many general anesthesia drugs are prone to enter the fetus' body to cause fetal respiratory depression. But these drugs are the most commonly used and familiar drugs for anesthesiologists in general anesthesia. If you do not use these commonly used drugs and change them to special drugs that are rarely used, you will be afraid of other troubles.

For example, this patient is risking his life and only wants a child. She and her family will not be willing to let the child risk his life at the critical moment. Fetal respiratory depression means that the child will suffocate, and the baby's life may also become a child with cerebral palsy when the baby returns. For this reason, the patient who has learned medical information from various places and his family are unwilling to be general anesthesia.

Can I use continuous epidural anesthesia without general anesthesia?

In this regard, anesthesiologists and cardiac surgeons dare not give 100% guarantee. Perhaps the patient will have a sharp turnover depending on the situation during the operation. The main reason is that the patient's heart function is not good now, and other cycles may be required during the operation.

Du Yeqing said: "If the patient's condition is more critical, we may provide support for her in advance for IABP."

(What is IABP mentioned in the previous chapter will not be re-reviewed.)

In this case, how to ensure that the current plan is feasible.

"Director Zhang presided over the round discussion this morning. Today, he will change her to use a drug in combination. It is estimated that the patient's condition will improve tomorrow." Du Yeqing said.

It turned out that the big boss took action.

"Of course, according to our Director Zhang's prediction, this drug can only be pushed to the day after tomorrow." Du Yeqing added that it is not that he did not use it before, but that the medicine should be used in the critical period. Some medicines seem to be effective quickly, but to put it bluntly, it does not cure the root cause. As you use it, it will quickly show that the effect will be poor in the future.

After hearing this, Du Haiwei knew that the surgeons of the cesarean section center would be guarding each other, so that their obstetricians and gynecologists would not be too worried.

While the meeting was on, someone came quietly and sat next to Zhang Huayao, waving to classmate Xie secretly.

Xie Wanying turned around and saw Senior Brother Shen’s handsome eyebrows that were smiling and flying.

On the scene, except for neonatologists, the doctors of the surgical team were basically here. Any questions can be discussed.
Chapter completed!