Document Detail

Anaesthetic management of caesarean section in a patient with a permanent pacemaker and severe bilateral ventricular dilatation.
MedLine Citation:
PMID:  15321108     Owner:  NLM     Status:  PubMed-not-MEDLINE    
A 33-year-old primigravida presented at 32 weeks gestation with increasing shortness of breath related to left ventricular failure. She had severe bilateral ventricular dilatation of unknown aetiology. An urgent caesarean section was required when she failed to improve on medical therapy, and for this she requested general anaesthesia. The patient had a permanent pacemaker for congenital complete heart block and Harrington rods for kyphoscoliosis. In view of the cardiac problems we transferred the patient to our cardiac unit and performed the procedure with full invasive haemodynamic monitoring. An alfentanil based modified rapid sequence induction resulted in stable maternal haemodynamics. The 2.2 kg male neonate initially required ventilation for 12 h, but then made a good recovery along with his mother.
M M Esmail; S Catling; S Mahon; J Dingley
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of obstetric anesthesia     Volume:  9     ISSN:  0959-289X     ISO Abbreviation:  Int J Obstet Anesth     Publication Date:  2000 Jan 
Date Detail:
Created Date:  2004-08-23     Completed Date:  2005-02-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200430     Medline TA:  Int J Obstet Anesth     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  51-4     Citation Subset:  -    
Cardiothoracic Centre, Morriston Hospital, Swansea, Wales, UK.
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