An anesthesiologist’s view of problems in HIV-positive patients

  • E. V. Grigimalsky Maternity Hospital “Leleka”, Kyiv
  • A. I. Garga Maternity Hospital “Leleka”, Kyiv
  • A. V. Tarasov Maternity Hospital “Leleka”, Kyiv
  • I. N. Dovgiy Maternity Hospital “Leleka”, Kyiv
  • N. N. Budnyk Maternity Hospital “Leleka”, Kyiv
Keywords: HIV infection, perioperative period, treatment, patient, caesarean section

Abstract

Currently, HIV infection is becoming epidemic. More than 42% of HIV-infected people in the world are women of childbearing age. With the onset of antiretroviral therapy, chemoprophylaxis during pregnancy, and planned cesarean section, the risk of perinatal HIV transmission decreases to 1–2%. However, various side effects such as anemia, neutropenia, thrombocytopenia, fatty liver dystrophy, toxic hepatitis, acute pancreatitis, increased serum transaminases, changes in biochemical parameters of liver function, impaired glucose tolerance, and hypocoagulation may occur in the context of antiretroviral therapy. This poses to the anesthesiologist a number of new tasks to ensure patient safety during the perioperative period.

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Published
2018-05-16
How to Cite
1.
Grigimalsky EV, Garga AI, Tarasov AV, Dovgiy IN, Budnyk NN. An anesthesiologist’s view of problems in HIV-positive patients. prmd [Internet]. 2018May16 [cited 2019Jul.22];1(1):66-9. Available from: https://perioperative.org.ua/index.php/prtmdc/article/view/11
Section
Clinical thinking