| General anesthesia for caesarean delivery in a pregnant woman affected by acute myocardial infarction. | |
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MedLine Citation:
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PMID: 22913165 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Acute myocardial infarction rarely occurs in women during childbearing age (1:20,000), but maternal mortality rate is high (11%). Management of pregnant woman affected by myocardial infarction could be a challenge for obstetricians, cardiologists and anesthetists. In this report, we present the management of a 36 years-old nulliparous woman affected from hypertension and dyslipidemia, who experienced acute myocardial infarction at 25th gestational week and was scheduled for caesarean delivery at 35th week. General anesthesia for cesarean section was conducted using sevoflurane and remifentanil target controlled infusion (TCI); the patient was monitored with ECG, pulse oximetry, invasive blood pressure, haemodynamic measurement by lithium dilution cardiac output (LiDCO plus) and bispectral index. The titrated use of remifentanil and the close control of hemodynamic parameters by LiDCO plus monitoring may contribute to improve maternal outcome and newborn well-being in the management of general anesthesia for caesarean section. |
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Authors:
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L Frassanito; S Vagnoni; B A Zanfini; S Catarci; S Maggiore; G Draisci |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European review for medical and pharmacological sciences Volume: 16 ISSN: 1128-3602 ISO Abbreviation: Eur Rev Med Pharmacol Sci Publication Date: 2012 Aug |
Date Detail:
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Created Date: 2012-08-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9717360 Medline TA: Eur Rev Med Pharmacol Sci Country: Italy |
Other Details:
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Languages: eng Pagination: 1123-6 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, School of Medicine, Catholic University of the Sacred Heart, Rome, Italy. lucfras75@hotmail.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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