Anaesthetic management of caesarean section in a patient with a permanent pacemaker and severe bilateral ventricular dilatation

Esmail, M.; Catling, S.; Mahon, Suzanne M.; Dingley, John

doi:10.1054/ijoa.1999.0323

Cited by 4 publications

(2 citation statements)

References 8 publications

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“…ICu admission was planned for mechanical ventilation and haemodynamic stabilisation prior to likely improvement of cardiac function over the course of several postpartum days. Remifentanil 16 and alfentanil 17 have been successfully used in general anaesthesia techniques in parturients with heart disease undergoing caesarean section. Fentanyl was chosen by the cardiac anaesthetists in our patient because of their familiarity with it and their opinion that it provides the best haemodynamic stability.…”

Section: Discussionmentioning

confidence: 99%

High Output Cardiac Failure in a Parturient with Hereditary Haemorrhagic Telangiectasia

Lai

Dennis

Graham

2010

Anaesth Intensive Care

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Hereditary haemorrhagic telangiectasia is a genetic condition which results in arteriovenous malformations involving the skin, mucous membranes, lung, brain, gastrointestinal tract, liver and spinal canal. The shunting of blood through arteriovenous malformations, especially in the liver, leads to maldistribution of cardiac output. In order to supply blood to vital organs, cardiac output is increased through vasodilation, elevated stroke volume and elevated heart rate. Pregnancy can worsen the effects of the arteriovenous malformations. We present the peripartum management of a woman with hereditary haemorrhagic telangiectasia predominantly involving the liver that resulted in high output cardiac failure during two consecutive pregnancies.

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Section: Discussionmentioning

confidence: 99%

High Output Cardiac Failure in a Parturient with Hereditary Haemorrhagic Telangiectasia

Lai

Dennis

Graham

2010

Anaesth Intensive Care

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show abstract

“…Most of those describe use of general anaesthesia for caesarean section [ 1 , 5 , 6 , 10 , 11 , 12 ]. On the other hand there is wealth of evidence available describing superiority of regional techniques over general anaesthesia in obstetric patients; however these techniques are generally avoided in patients with significant cardiovascular problems due to perceived association with haemodynamic instability [ 1 ].…”

Section: Case Reportmentioning

confidence: 99%