Regardless of the anesthetic technique used, anesthesia considerations should include insertion of large-bore venous access to allow rapid crystalloid and blood product infusion, availability of high flow rate infusion and suction devices, hemodynamic monitoring capabilities (central venous and peripheral arterial access), compression stock- ings and devices to prevent thromboembolism, padding and positioning to prevent nerve compression, and avoidance and treatment of hypothermia [31]. Consideration may be given to the use of the cell saver and acute normovolemic hemodilution. While both these techniques remain controversial for the parturient, recent data attest to their safety and e cacy [42].
Regardless of the anesthetic technique used, anesthesia considerations should include insertion of large-bore venous access to allow rapid crystalloid and blood product infusion, availability of high flow rate infusion and suction devices, hemodynamic monitoring capabilities (central venous and peripheral arterial access), compression stock- ings and devices to prevent thromboembolism, padding and positioning to prevent nerve compression, and avoidance and treatment of hypothermia [31]. Consideration may be given to the use of the cell saver and acute normovolemic hemodilution. While both these techniques remain controversial for the parturient, recent data attest to their safety and e cacy [42].
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