Zika virus: review and obstetric anesthetic clinical considerations

J Clin Anesth. 2016 Dec:35:136-144. doi: 10.1016/j.jclinane.2016.07.034. Epub 2016 Aug 11.

Abstract

Study objectives: To review the clinical and basic science literature regarding Zika viral illness and highlight relevant findings for obstetric anesthesiologists. This review provides a global review of Zika viral illness, transmission patterns, pathophysiology of disease, and anesthetic management of the parturient with Zika viral illness and associated comorbidities.

Design: Systematic review.

Setting: Large academic hospital.

Subjects: None.

Interventions: None.

Measurements: None.

Main results: None.

Conclusion: With the rapid spread of Zika virus and expected increase of spread in the summer of 2016, this review provides anesthesiologists with current recommendations, physiologic alterations, and anesthetic considerations in regard to the parturient with Zika viral illness and associated diseases.

Keywords: Anesthetic considerations; Guillain-Barré; Transmission prevention; Uteroplacental insufficiency; Zika virus.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Aedes / virology
  • Anesthesia, Obstetrical / methods*
  • Animals
  • Blood-Borne Pathogens*
  • Female
  • Guillain-Barre Syndrome / complications*
  • Guillain-Barre Syndrome / epidemiology
  • Guillain-Barre Syndrome / virology
  • Humans
  • Incidence
  • Infectious Disease Transmission, Vertical / prevention & control*
  • Pregnancy
  • United States / epidemiology
  • Zika Virus / pathogenicity*
  • Zika Virus Infection / complications*
  • Zika Virus Infection / epidemiology
  • Zika Virus Infection / prevention & control
  • Zika Virus Infection / transmission*