Postpartum hemorrhage and pregnancy induced hypertension during emergency lower segment cesarean section: dexmedetomidine to our rescue

被引:0
|
作者
Hariharan, Uma [1 ]
机构
[1] Bhagwan Mahavir Hosp, Rajiv Gandhi Canc Inst & Res Ctr, Delhi Govt Hlth Serv, New Delhi, India
来源
REVISTA BRASILEIRA DE ANESTESIOLOGIA | 2017年 / 67卷 / 05期
关键词
Dexmedetomidine; Obstetric anesthesia; Pregnancy-induced hypertension; Post-partum hemorrhage; Emergency cesarean section;
D O I
10.1016/j.bjan.2015.09.001
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Dexmedetomidine is a highly selective alpha-2 agonist which has recently revolutionized our anesthesia and intensive care practice. An obstetric patient presented for emergency cesarean delivery under general anesthesia, with pre-eclampsia and postpartum hemorrhage. In carefully selected cases with refractory hypertension and postpartum hemorrhage, dexmedetomidine can be used for improving overall patient outcome. It was beneficial in controlling both the blood pressure and uterine bleeding during cesarean section in our patient. (C) 2015 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda.
引用
收藏
页码:538 / 540
页数:3
相关论文
共 34 条
  • [21] Clinical study of oxytocin combined with prostaglandins in preventing postpartum hemorrhage and improving delivery outcomes in high-risk pregnancy after cesarean section
    Yu, Man
    Yang, Yajun
    Wang, Lan
    INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE, 2020, 13 (09): : 6387 - 6394
  • [22] Rotational thromboelastometry during Cesarean section as a predictive evaluation for the progression of persistent postpartum hemorrhage in parturients with placenta previa: A prospective observational study
    Shin, H. -J.
    Nam, S. W.
    Koo, B. -W.
    Kim, J.
    Hwang, J. -W.
    Do, S. -H.
    Na, H. -S.
    HELIYON, 2023, 9 (02)
  • [23] Comparison of three neuraxial anesthesia approaches in parturient women with obesity and pregnancy-induced hypertension who underwent cesarean section
    Li, Jie
    Chen, An-er
    Ye, Ren
    JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, 2021, 49 (12)
  • [24] Comparison between two management protocols for postpartum hemorrhage during cesarean section in placenta previa: Balloon protocol versus non-balloon protocol
    Maher, Mohammad Ahmed
    Abdelaziz, Ahmed
    JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH, 2017, 43 (03) : 447 - 455
  • [25] A randomized comparative study to evaluate the efficacy of dexmedetomidine used as an adjuvant to isobaric 1% 2-chloroprocaine in parturients undergoing elective lower segment cesarean section under subarachnoid block
    Thada, Beena
    Sethi, Surendra K.
    Meena, Yogesh K.
    Rathore, Mukut
    Yadav, Ratan K.
    JOURNAL OF OBSTETRIC ANAESTHESIA AND CRITICAL CARE, 2024, 14 (01) : 60 - 66
  • [26] An unanticipated cardiac arrest and unusual post-resuscitation psycho-behavioural phenomena/near death experience in a patient with pregnancy induced hypertension and twin pregnancy undergoing elective lower segment caesarean section
    Panditrao, Mridul M.
    Singh, Chanchal
    Panditrao, Minnu M.
    INDIAN JOURNAL OF ANAESTHESIA, 2010, 54 (05) : 467 - 469
  • [27] Comparative study between oxytocin and combination of tranexamic acid and ethamsylate in reducing intra-operative bleeding during emergency and elective cesarean section after 38 weeks of normal pregnancy
    Bosilah, Almandouh H. H.
    Eldesouky, Elsayed
    Alghazaly, Moatazza Mahdy
    Farag, Elsayed
    Sultan, Eslam Elsayed Kamal
    Alazazy, Hosam
    Mohamed, Attia
    Ali, Soliman Mohamed Said
    Elsror, Ahmed Gamal Abo
    Mahmoud, Mohamed
    Abd Elhalim, Abd Elhalim Mohamed
    Kamel, Mohamed Abdelmonem
    Abd-ElGawad, Mohamed
    Sayed, Fatma Mohamed
    Bakry, Mohamed Sobhy
    BMC PREGNANCY AND CHILDBIRTH, 2023, 23 (01)
  • [28] Prophylactic tranexamic acid for reducing intraoperative blood loss during cesarean section in women at high risk of postpartum hemorrhage: A double-blind placebo randomized controlled trial
    Ortuanya, Kelvin E.
    Eleje, George U.
    Ezugwu, Frank O.
    Odugu, Boniface U.
    Ikechebelu, Joseph I.
    Ugwu, Emmanuel O.
    Eke, Ahizechukwu C.
    Awkadigwe, Fredrick, I
    Ezenwaeze, Malachy N.
    Ofor, Ifeanyichukwu J.
    Okafor, Chidinma C.
    Okafor, Chigozie G.
    WOMENS HEALTH, 2024, 20
  • [29] Analysis of risk factors associated with different degrees of postpartum hemorrhage in patients with pregnancy-induced hypertension and construction of a prediction model using line graph
    Zhong, Xiwen
    Zhang, Pingping
    JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, 2023, 36 (02)
  • [30] Does cervical ureaplasma/mycoplasma colonization increase the lower uterine segment bleeding risk during cesarean section among patients with placenta previa? A cross-sectional study
    Aydogan, P.
    Kahyaoglu, S.
    Saygan, S.
    Kaymak, O.
    Mollamahmutoglu, L.
    Danisman, N.
    EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES, 2014, 18 (16) : 2243 - 2247