Use of remifentanil in a patient with peripartum cardiomyopathy requiring Caesarean section

被引：38

作者：

McCarroll, CP ^{[1
]}

Paxton, LD ^{[1
]}

Elliott, P ^{[1
]}

Wilson, DB ^{[1
]}

机构：

[1] Royal Victoria Hosp, Dept Clin Anaesthesia, Belfast BT12 6BA, Antrim, North Ireland

来源：

BRITISH JOURNAL OF ANAESTHESIA | 2001年 / 86卷 / 01期

关键词：

anaesthesia; obstetric; complications; cardiomyopathy; analgesics opioid; remifentanil;

D O I：

10.1093/bja/86.1.135

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We describe a case of a 26 yr old primigravida at 39 weeks' gestation, with a diagnosis of peripartum cardiomyopathy, requiring urgent Caesarean section. The patient presented in severe heart failure and active labour. A general anaesthetic, using a target-controlled infusion of propofol and an intravenous infusion of remifentanil, was used to provide stable anaesthesia and analgesia for a successful delivery. The unusual diagnosis of peripartum cardiomyopathy and the potential benefits of the use of remifentanil in high-risk obstetric surgery are discussed.

引用

页码：135 / 138

页数：4

共 50 条

[21] Use of LMA for awake intubation for caesarean section [J].

Godley, M ;

Reddy, ARR .

CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1996, 43 (03) :299-302

[22] Neonatal effect of remifentanil in general anaesthesia for caesarean section: a randomized trial [J].

Noskova, Pavlina ;

Blaha, Jan ;

Bakhouche, Hana ;

Kubatova, Jana ;

Ulrichova, Jitka ;

Marusicova, Patricia ;

Smisek, Jan ;

Parizek, Antonin ;

Slanar, Ondrej ;

Michalek, Pavel .

BMC ANESTHESIOLOGY, 2015, 15

[23] Neonatal effect of remifentanil in general anaesthesia for caesarean section: a randomized trial [J].

Pavlina Noskova ;

Jan Blaha ;

Hana Bakhouche ;

Jana Kubatova ;

Jitka Ulrichova ;

Patricia Marusicova ;

Jan Smisek ;

Antonin Parizek ;

Ondrej Slanar ;

Pavel Michalek .

BMC Anesthesiology, 15

[24] Incremental spinal anaesthesia for elective Caesarean section in a patient with Eisenmenger's syndrome [J].

Cole, PJ ;

Cross, MH ;

Dresner, M .

BRITISH JOURNAL OF ANAESTHESIA, 2001, 86 (05) :723-726

[25] Extradural anaesthesia for Caesarean section in a patient with syringomyelia and Chiari type I anomaly [J].

Nel, MR ;

Robson, V ;

Robinson, PN .

BRITISH JOURNAL OF ANAESTHESIA, 1998, 80 (04) :512-515

[26] Anaesthetic management of a quadriplegic patient with severe respiratory insufficiency undergoing Caesarean section [J].

Ahmed, AB ;

Bogod, DG .

ANAESTHESIA, 1996, 51 (11) :1043-1045

[27] Emergency caesarean section in a patient with myotonic dystrophy: a case of failed postoperative extubation in a patient with mild disease [J].

Owen, P. M. ;

Chu, C. .

ANAESTHESIA AND INTENSIVE CARE, 2011, 39 (02) :293-298

[28] Caesarean section in a patient with paramyotonia congenita [J].

Grace, RF ;

Roach, VJ .

ANAESTHESIA AND INTENSIVE CARE, 1999, 27 (05) :534-537

[29] Cardiomyopathy in pregnancy and caesarean section: Four case reports [J].

Pryn, A. ;

Bryden, F. ;

Reeve, W. ;

Young, S. ;

Patrick, A. ;

McGrady, E. M. .

INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, 2007, 16 (01) :68-73

[30] Anaesthesia for Caesarean section in a patient with recent subarachnoid haemorrhage and severe pre-eclampsia [J].

Levy, DM ;

Jaspan, T .

ANAESTHESIA, 1999, 54 (10) :994-998

← 1 2 3 4 5 →