Title of article
USE OF REMIFENTANIL IN A PATIENT WITH EISENMENGER SYNDROME REQUIRING URGENT CESAREAN SECTION
Author/Authors
Duman, Ates Selcuk Universitesi - Tip Fakultesi - Department of Anesthesiology and Intensive Care, Turkey , Sarkilar, Gamze Selcuk Universitesi - Tip Fakultesi - Department of Anesthesiology and Intensive Care, Turkey , Dayioglu, Mürüvvet Selcuk Universitesi - Tip Fakultesi - Department of Anesthesiology and Intensive Care, Turkey , Özden, Mine Selcuk Universitesi - Meram Medical Faculty - Department of Cardiovascular Surgery, Turkey , Görmüs, Niyazi Selcuk Universitesi - Meram Medical Faculty - Department of Cardiovascular Surgery, Turkey
From page
577
To page
580
Abstract
We describe a case of 41 yr old multigravida at 35 weeks gestation, with a diagnosis of Eisenmenger syndrome, requiring urgent Cesarean section. The parturient had signs and symptoms of respiratory distress due to high pulmonary artery pressure, and the pregnancy was complicated by preeclampsia. A general anesthetic consisting of ketamine and etomidate and an intravenous infusion of remifentanil were used to provide stable anesthesia and analgesia for a successful delivery. The baby was delivered with high Apgar scores. The potential benefits and safety of the use of remifentanil in parturients with high pulmonary artery pressures are discussed.
Keywords
Cesarean section , Eisenmenger`s syndrome , remifentanil
Journal title
Middle East Journal of Anesthesiology
Journal title
Middle East Journal of Anesthesiology
Record number
2635342
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