Document Detail


A case for combined spinal-epidural anesthesia for Cesarean section in a patient with aortic stenosis.
MedLine Citation:
PMID:  18491795     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This is a report of a patient with moderate aortic stenosis and twin gestation who presented for elective Cesarean section. These patients are at high risk of anesthesia related mortality from the pathophysiology of the cardiac lesion, exacerbated by the cardiovascular changes of pregnancy and complicated by the hemodynamic aberrations caused by anesthesia. This case shows that a slowly induced spinal-epidural anesthetic, with invasive blood pressure monitoring, is a safe and effective anesthetic.
Authors:
Edwin B Boso
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The West Virginia medical journal     Volume:  104     ISSN:  0043-3284     ISO Abbreviation:  W V Med J     Publication Date:    2008 Mar-Apr
Date Detail:
Created Date:  2008-05-21     Completed Date:  2008-06-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0413777     Medline TA:  W V Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  20-1     Citation Subset:  IM    
Affiliation:
United Anesthesia, Inc., Parkersburg, WV, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anesthesia, Epidural / methods*
Anesthesia, Obstetrical / methods*
Anesthesia, Spinal / methods*
Aortic Valve Stenosis / physiopathology*
Cesarean Section*
Female
Humans
Pregnancy
Pregnancy Complications, Cardiovascular / physiopathology*
Pregnancy Outcome
Pregnancy, Multiple

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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