Heart failure in obstetrical anaesthesia

Anaesthesia and Heart Failure

The following true/false questions may be attempted before reading the tutorial. The answers are given at the end of the text. 1. In the normal heart: a. Pre-load is the same as left ventricular end-diastolic volume b. Increase in pre-load has no effect on the force of the next contraction c. Systemic vasoconstriction reduces afterload d. Isovolumetric ventricular contraction ends when the aort...

Obstetrical epidural anaesthesia in remote hospitals.

In this issue of the Journal, Dr. Orser describes the experience with obstetricaL epidural anaesthesia in a smalL (40 beds), remote Canadian Hospital staffed by family practitioners. ~ Over a ten year period, seven per cent of obstetric patients received an epidural anaesthetic administered by one of nine different anaesthetists who had six months or less of formal anaesthesia training. Dr. Ors...

Anaesthesia and Heart Failure Anaesthesia Tutorial of the Week

Diastolic heart failure in anaesthesia and critical care.

Diastolic heart failure is an underestimated pathology with a high risk of acute decompensation during the perioperative period. This article reviews the epidemiology, risk factors, pathophysiology, and treatment of diastolic heart failure. Although frequently underestimated, diastolic heart failure is a common pathology. Diastolic heart failure involves heart failure with preserved left ventri...

Food Insecurity Status in Heart Failure Patients in Iranian Population

Background: We were conducted this study to assess the prevalence of food insecurity in heart failure patients households and the relationship between food security and some variables in this households. Methods: In this cross sectional study, a total of 300 heart failure patients' households were studied in Imam Reza hospital of Mashhad. The Iranian version of household food insecurity access ...