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Epidural anesthesia for cesarean section in a patient with severe pulmonary hypertension
Author(s) -
Atanassoff P.,
Alon E.,
Schmid E. R.,
Pasch Th.
Publication year - 1990
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.1990.tb03046.x
Subject(s) - medicine , anesthesia , bupivacaine , elective cesarean section , pulmonary hypertension , great arteries , hemodynamics , local anesthetic , gestation , anesthetic , eisenmenger syndrome , surgery , pregnancy , heart disease , cardiology , biology , genetics
The case of a parturient previously operated on for transposition of the great arteries is reported. On account of Eisenmenger's syndrome with high pulmonary vascular pressures, she was admitted to hospital with hemoptysis in the 27th week of gestation. At the end of the 34th week the child was delivered by elective cesarean section under epidural block. Bupivacaine 0.75% was administered as local anesthetic, and small incremental doses of local anesthetic proved capable of maintaining hemodynamic stability for the duration of the operative procedure.