ACE Question

Abstract

Article| December 2022 ACE Question ASA Monitor December 2022, Vol. 86, 11. https://doi.org/10.1097/01.ASM.0000904212.79262.98 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Cite Icon Cite Get Permissions Search Site Citation ACE Question. ASA Monitor 2022; 86:11 doi: https://doi.org/10.1097/01.ASM.0000904212.79262.98 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsASA Monitor Search Advanced Search Topics: anesthesiology continuing education (ace) Which of the following physiological factors related to hepatobiliary function is MOST likely to increase during pregnancy? Physiological changes during pregnancy significantly impact the well-being of both mother and baby and are important to recognize for optimal anesthetic management. There are several relevant changes in hepatobiliary function that occur during pregnancy. Although cardiac output and blood flow to several organs (e.g., uterus, kidneys) increase significantly during pregnancy, hepatic blood flow does not change significantly. Most of the liver enzymes, including aspartate aminotransferase (AST) and alanine aminotransferase (ALT), remain within normal range. However, serum alkaline phosphatase more than doubles due to placental secretion of this enzyme. Pregnancy is associated with an increased frequency of gallstone disease. Acute appendicitis and acute cholecystitis are the most common diseases requiring surgery during pregnancy. Several factors, including biliary stasis and changes in bile composition, are implicated in creating a lithogenic environment for this higher frequency... You do not currently have access to this content.