| Eisenmenger's syndrome in pregnancy: use of Proseal laryngeal mask airway (PLMA) and epidural analgesia for elective cesarean section. | |
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MedLine Citation:
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PMID: 20015822 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We describe the successful anesthetic management of cesarean section in a patient with Eisenmenger's syndrome secondary to an atrial septal defect. Although conception is discouraged in women with Eisenmenger's syndrome, in inevitable circumstances, careful and meticulous planning of anesthesia can help the parturient survive the ordeal of a cesarean section. The cardiac output must be maintained and systemic vascular resistance must not be allowed to fall. This should ensure that there is minimal change in the right to left shunt. In our patient, the scenario of Eisenmenger's syndrome was complicated by biventricular hypertrophy. We achieved the goals in our patient by using general anesthesia with the Proseal laryngeal mask airway, a combination of ketamine and propofol, and epidural analgesia. |
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Authors:
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Ravindra Pandey; Rakesh Garg; Mridu Paban Nath; Shakthi Rajan; Jyotsna Punj; Vanlal Darlong; Chandralekha |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists Volume: 47 ISSN: 1875-452X ISO Abbreviation: Acta Anaesthesiol Taiwan Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-12-17 Completed Date: 2010-03-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101214918 Medline TA: Acta Anaesthesiol Taiwan Country: China (Republic : 1949- ) |
Other Details:
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Languages: eng Pagination: 204-7 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology and Intensive Care, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India. trips22003@yahoo.co.in |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Analgesia, Epidural* Analgesia, Obstetrical* Central Venous Pressure Cesarean Section Eisenmenger Complex / physiopathology* Female Humans Laryngeal Masks* Pregnancy Pregnancy Complications, Cardiovascular / physiopathology* Thromboembolism / etiology Vascular Resistance |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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