General anaesthesia with target controlled infusion of propofol for planned caesarean section: maternal and neonatal effects of a remifentanil-based technique

Velde, Marc Van de; Teunkens, An; Kuypers, Maybritt I.; Dewinter, T; Vandermeersch, Eugéne

doi:10.1016/j.ijoa.2004.01.005

Cited by 88 publications

(65 citation statements)

References 33 publications

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“…Remifentanil is metabolized by nonspecific tissue and plasma esterases and is therefore eliminated independently of hepatic function. Restoration from remifentanil does not relate to dose and infusion time so it can be used as induction and anesthesia maintenance; however, it may lead to decreased Apgar scores and mild respiratory depression, and the need for transient mask ventilation has been reported in 6 of 10 neonates [37]. Remifentanil was not used in any of these cases.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of Acute Fatty Liver of Pregnancy: Twenty-Eight Cases and Discussion of Anesthesia

Zhou

Zhang

2013

Gynecol Obstet Invest

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Aims: To summarize the clinical features, perioperative management and maternal and neonatal outcomes of patients with acute fatty liver of pregnancy (AFLP) and to discuss the management of anesthesia in these patients. Methods: This study was a retrospective review over a period of 5 years and 9 months; 28 cases from the Shanghai Public Health Clinical Center were included. Records were reviewed for symptoms, signs, laboratory findings, clinical courses, perioperative management and maternal and neonatal outcomes. Results: Of the AFLP cases analyzed in the present study, 75.0% occurred in primipara and 63.3% occurred with male fetuses. Prodromic symptoms included the sudden onset of fatigue, nausea, vomiting, anorexia and jaundice. Laboratory results indicated liver function abnormalities, coagulopathy, hypoglycemia, leukocytosis and negative urine bilirubin. There were 2 maternal deaths (7.1%) without fetal deaths. Cesarean sections were performed in 16 cases under neuraxial anesthesia and in 12 cases under general anesthesia with rapid-sequence induction. Conclusion: Early diagnosis, prompt delivery and intensive supportive treatment are critical for improving the prognosis of AFLP. Anesthesia selection should be individualized and general anesthesia with rapid-sequence induction may be the best choice for patients with severe coagulopathy.

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Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of Acute Fatty Liver of Pregnancy: Twenty-Eight Cases and Discussion of Anesthesia

Zhou

Zhang

2013

Gynecol Obstet Invest

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“…In clinical practice, however, propofol appears acceptable. [11] Propofol however may better attenuate the hemodynamic response to laryngoscopy and intubation. [12] Apart from the teratogenic effects, many drugs are responsible for premature labour, abortion and growth retardation.…”

Section: Discussionmentioning

confidence: 99%

Anaesthetic Management of a Pregnant Patient with Intraspinal Schwannoma for Excision

Borah¹,

Sonowal²,

Chanu³

et al. 2017

AIMDR

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Spinal tumours, like schwannomas although rare in pregnancy may cause serious problems ranging from acute neurological manifestations in the mother to adverse effects in the developing fetus. Both surgery and anesthesia, although necessary can also have risks of their own. We, describe here the successful anaesthetic management of a 30 year old pregnant patient at 23 weeks gestation for excision of an intraspinal schwannoma with the help of tailormade neuroanaesthetic plan for the patient. A multidisciplinary approach and cooperation between the surgeon, the anaesthetist, neurologist, obstetrician and neonatologist helped us achieve this goal.

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“…However, the neonatal respiratory depression was apparently transient. Spontaneous respiration was established rapidly by mask ventilation or naloxone [5,6,16,17].…”

Section: Discussionmentioning

confidence: 99%

“…The safety of remifentanil in neonatal outcomes has been investigated in several prospective studies to J Anesth (2012) 26:275-279 277 determine the optimal technique for cesarean section under general anesthesia [5,6,18]. van de Velde et al [6] evaluated the maternal and neonatal effects of a propofol/ remifentanil-based anesthesia technique in 10 patients undergoing cesarean section under general anesthesia.…”

Section: Discussionmentioning

confidence: 99%

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Remifentanil use for cesarean section in a patient with intracranial re-ruptured arteriovenous malformation

et al. 2011

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We describe the successful administration of remifentanil as part of the anesthetic technique used for cesarean section performed under general anesthesia in a 24-year-old woman with intracranial re-hemorrhage caused by re-ruptured arteriovenous malformation. A low dose of remifentanil was useful to obtund the hypertensive response during induction and maintenance of anesthesia without neonatal respiratory depression.

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General anaesthesia with target controlled infusion of propofol for planned caesarean section: maternal and neonatal effects of a remifentanil-based technique

Cited by 88 publications

References 33 publications

Retrospective Analysis of Acute Fatty Liver of Pregnancy: Twenty-Eight Cases and Discussion of Anesthesia

Retrospective Analysis of Acute Fatty Liver of Pregnancy: Twenty-Eight Cases and Discussion of Anesthesia

Anaesthetic Management of a Pregnant Patient with Intraspinal Schwannoma for Excision

Remifentanil use for cesarean section in a patient with intracranial re-ruptured arteriovenous malformation

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