Solvents are a diverse group of compounds absorbed through the lungs by inhalation and are infrequently abused by pregnant women. Chronic use leads to multi-organ system damage, and electrolyte abnormalities may occur more frequently than with the abuse of other drugs. Obstetric and neonatal outcomes are likely poorer, but peripartum obstetric and anesthetic management of the non-intoxicated patient is similar to that of the non-solvent abusing mother. General anesthesia may be required in the acutely intoxicated patient who is uncooperative; responses to drugs commonly used during general anesthesia may be altered in unpredictable ways.
KeywordsAddiction Obstetric anesthesia Congenital anomalies Toluene Solvents
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