Influence of maternal hyperventilation on the newborn infant
Moderate controlled hyperventilation during cesarean section can cause the fetus to have slightly less acidosis at birth. However, if maternal PCO2 is lowered below 17 mm. Hg, the infant is likely to have severe acidosis and delayed onset of respiration. Although hyperventilation was not always acco...
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Veröffentlicht in: | American journal of obstetrics and gynecology 1965-01, Vol.91 (1), p.76-84 |
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creator | Moya, Frank Morishima, Hisayo O. Shnider, Sol M. James, L.Stanley |
description | Moderate controlled hyperventilation during cesarean section can cause the fetus to have slightly less acidosis at birth. However, if maternal PCO2 is lowered below 17 mm. Hg, the infant is likely to have severe acidosis and delayed onset of respiration. Although hyperventilation was not always accompanied by maternal alkalosis in this study, 1 of the two mothers with the most alkalosis belonged to the group in which the anesthesiologist was attempting to maintain a normal level of ventilation. There is danger not for the conscious patient hyperventilating voluntarily, but for the unconscious patient who undergoes artificial ventilation after receiving muscle relaxants. Considerable caution should be exercised, therefore, in the ventilation of pregnant women who undergo cesarean section when muscle relaxants are being used; willful overventilation should be avoided. |
doi_str_mv | 10.1016/0002-9378(65)90589-2 |
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However, if maternal PCO2 is lowered below 17 mm. Hg, the infant is likely to have severe acidosis and delayed onset of respiration. Although hyperventilation was not always accompanied by maternal alkalosis in this study, 1 of the two mothers with the most alkalosis belonged to the group in which the anesthesiologist was attempting to maintain a normal level of ventilation. There is danger not for the conscious patient hyperventilating voluntarily, but for the unconscious patient who undergoes artificial ventilation after receiving muscle relaxants. Considerable caution should be exercised, therefore, in the ventilation of pregnant women who undergo cesarean section when muscle relaxants are being used; willful overventilation should be avoided.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/0002-9378(65)90589-2</identifier><identifier>PMID: 14245094</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acid-Base Equilibrium ; Acidosis ; Alkalosis ; Anesthesia - adverse effects ; Anesthesia, Obstetrical ; Blood ; Blood Gas Analysis ; Cesarean Section ; Female ; Humans ; Hydrogen-Ion Concentration ; Hyperventilation ; Infant, Newborn ; Infant, Newborn, Diseases ; Old Medline ; Pregnancy ; Umbilical Arteries ; Umbilical Cord ; Umbilical Veins</subject><ispartof>American journal of obstetrics and gynecology, 1965-01, Vol.91 (1), p.76-84</ispartof><rights>1965</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-dabd7f271b9d865227c942ae5450d6bfa9581e62eb7eb7d336c219ac79aabc543</citedby><cites>FETCH-LOGICAL-c358t-dabd7f271b9d865227c942ae5450d6bfa9581e62eb7eb7d336c219ac79aabc543</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0002-9378(65)90589-2$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14245094$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moya, Frank</creatorcontrib><creatorcontrib>Morishima, Hisayo O.</creatorcontrib><creatorcontrib>Shnider, Sol M.</creatorcontrib><creatorcontrib>James, L.Stanley</creatorcontrib><title>Influence of maternal hyperventilation on the newborn infant</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Moderate controlled hyperventilation during cesarean section can cause the fetus to have slightly less acidosis at birth. However, if maternal PCO2 is lowered below 17 mm. Hg, the infant is likely to have severe acidosis and delayed onset of respiration. Although hyperventilation was not always accompanied by maternal alkalosis in this study, 1 of the two mothers with the most alkalosis belonged to the group in which the anesthesiologist was attempting to maintain a normal level of ventilation. There is danger not for the conscious patient hyperventilating voluntarily, but for the unconscious patient who undergoes artificial ventilation after receiving muscle relaxants. Considerable caution should be exercised, therefore, in the ventilation of pregnant women who undergo cesarean section when muscle relaxants are being used; willful overventilation should be avoided.</description><subject>Acid-Base Equilibrium</subject><subject>Acidosis</subject><subject>Alkalosis</subject><subject>Anesthesia - adverse effects</subject><subject>Anesthesia, Obstetrical</subject><subject>Blood</subject><subject>Blood Gas Analysis</subject><subject>Cesarean Section</subject><subject>Female</subject><subject>Humans</subject><subject>Hydrogen-Ion Concentration</subject><subject>Hyperventilation</subject><subject>Infant, Newborn</subject><subject>Infant, Newborn, Diseases</subject><subject>Old Medline</subject><subject>Pregnancy</subject><subject>Umbilical Arteries</subject><subject>Umbilical Cord</subject><subject>Umbilical Veins</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1965</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kFtLwzAUgIMobk7_gUifRB-qSdqkCYggw8tg4Is-hzQ9ZZE2nUk62b-3dUPfhAOHA9-5fQidE3xDMOG3GGOayqwQV5xdS8yETOkBmhIsi5QLLg7R9BeZoJMQPsaSSnqMJiSnOcMyn6K7haubHpyBpKuTVkfwTjfJarsGvwEXbaOj7VwyRFxB4uCr7LxLrKu1i6foqNZNgLN9nqH3p8e3-Uu6fH1ezB-WqcmYiGmly6qoaUFKWQnOKC2MzKkGNtxQ8bLWkgkCnEJZDFFlGTeUSG0KqXVpWJ7N0OVu7tp3nz2EqFobDDSNdtD1QYlMCpELMYD5DjS-C8FDrdbettpvFcFqtKZGB2pUojhTP9YUHdou9vP7soXqr2mvaQDudwAMX24seBWMHaVV1oOJqurs_xu-AWROfEA</recordid><startdate>19650101</startdate><enddate>19650101</enddate><creator>Moya, Frank</creator><creator>Morishima, Hisayo O.</creator><creator>Shnider, Sol M.</creator><creator>James, L.Stanley</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19650101</creationdate><title>Influence of maternal hyperventilation on the newborn infant</title><author>Moya, Frank ; Morishima, Hisayo O. ; Shnider, Sol M. ; James, L.Stanley</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c358t-dabd7f271b9d865227c942ae5450d6bfa9581e62eb7eb7d336c219ac79aabc543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1965</creationdate><topic>Acid-Base Equilibrium</topic><topic>Acidosis</topic><topic>Alkalosis</topic><topic>Anesthesia - adverse effects</topic><topic>Anesthesia, Obstetrical</topic><topic>Blood</topic><topic>Blood Gas Analysis</topic><topic>Cesarean Section</topic><topic>Female</topic><topic>Humans</topic><topic>Hydrogen-Ion Concentration</topic><topic>Hyperventilation</topic><topic>Infant, Newborn</topic><topic>Infant, Newborn, Diseases</topic><topic>Old Medline</topic><topic>Pregnancy</topic><topic>Umbilical Arteries</topic><topic>Umbilical Cord</topic><topic>Umbilical Veins</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moya, Frank</creatorcontrib><creatorcontrib>Morishima, Hisayo O.</creatorcontrib><creatorcontrib>Shnider, Sol M.</creatorcontrib><creatorcontrib>James, L.Stanley</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moya, Frank</au><au>Morishima, Hisayo O.</au><au>Shnider, Sol M.</au><au>James, L.Stanley</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of maternal hyperventilation on the newborn infant</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>1965-01-01</date><risdate>1965</risdate><volume>91</volume><issue>1</issue><spage>76</spage><epage>84</epage><pages>76-84</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><abstract>Moderate controlled hyperventilation during cesarean section can cause the fetus to have slightly less acidosis at birth. 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source | MEDLINE; Elsevier ScienceDirect Journals Complete |
subjects | Acid-Base Equilibrium Acidosis Alkalosis Anesthesia - adverse effects Anesthesia, Obstetrical Blood Blood Gas Analysis Cesarean Section Female Humans Hydrogen-Ion Concentration Hyperventilation Infant, Newborn Infant, Newborn, Diseases Old Medline Pregnancy Umbilical Arteries Umbilical Cord Umbilical Veins |
title | Influence of maternal hyperventilation on the newborn infant |
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