title: The role of the anesthesiologist in the care of the parturient with cardiac disease.
abstract: Women with cardiac disease constitute a growing percentage of parturients, and in many series cardiac disease is the leading cause of maternal mortality. Involvement of anesthesiologists in the planning for and management of delivery in these women can improve the experience and potentially the outcome of these patients. Communication with the anesthesiology team about particularly complex cases is essential to avoid both medical complications and inter-disciplinary disagreements. The specific role and contributions of the anesthesiology team will depend significantly on the nature of the institution and the organization of the (obstetric) anesthesiology service.
authors.affiliation: Division of Obstetric Anesthesiology, Department of Anesthesiology, Columbia University College of Physicians and Surgeons, 630 West 168th St, New York, NY 10032.
authors.forename: Adam
authors.initials: A
authors.lastname: Sachs
authors.affiliation: Division of Obstetric Anesthesiology, Department of Anesthesiology, Columbia University College of Physicians and Surgeons, 630 West 168th St, New York, NY 10032.
authors.forename: Jaime
authors.initials: J
authors.lastname: Aaronson
authors.affiliation: Division of Obstetric Anesthesiology, Department of Anesthesiology, Columbia University College of Physicians and Surgeons, 630 West 168th St, New York, NY 10032. Electronic address: rms7@cumc.columbia.edu.
authors.forename: Richard
authors.initials: R
authors.lastname: Smiley
mesh_terms: D000328:Adult; D016362:Analgesia, Obstetrical; D000773:Anesthesia, Obstetrical; D000779:Anesthetics, Local; D002300:Cardiac Care Facilities / Q000458:organization & administration*; D002585:Cesarean Section; D000075202:Contraindications; D036861:Delivery, Obstetric; D017558:Elective Surgical Procedures; D005260:Female; D005440:Fluid Therapy / Q000379:methods*; D006331:Heart Diseases / Q000628:therapy; D006801:Humans; D007231:Infant, Newborn; D016343:Monitoring, Intraoperative; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000628:therapy; D018566:Pregnancy, High-Risk
chemical_list: D000779:Anesthetics, Local