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Episode 172: A Pregnant Patient with Congenital Heart Disease

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

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Do You Have a Heart Condition?

The pushing itself is essentially like an auto-transfusion of blood. Adding quick volume to the circulation can cause problems in people with compromised heart. Jason: It's very rarely that we tell the patient that she can't push, because there are times when a patient may be an amazing pusher and then she might push her baby out in five minutes. And I think what this emphasizes again is the importance of communication.

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