[Perioperative management for cesarean section in a patient with corrected transposition of the great arteries].
Masui
; 52(3): 268-73, 2003 Mar.
Article
en Ja
| MEDLINE
| ID: mdl-12703069
We report anesthetic management for cesarean section in a pregnant (36 weeks) woman with corrected transposition of the great arteries, associated with Ebstein's anomaly and atrial septal defect. She had not received any surgical procedure, and had orthopnea and chest pain which were the signs of congestive heart failure before pregnancy. Her heart failure was ongoing through 34 th week of gestation. Central venous pressure and invasive arterial pressure were monitored perioperatively. A low-dose of fentanyl (3.5 micrograms.kg-1) was injected intravenously 5 minutes before induction, followed by anesthesia induced by thiamylal and suxamethonium chloride. Continuous infusion of propofol and continuous epidural anesthesia were started after delivery, supplemented by isoflurane. No significant cardiovascular changes were observed in the mother during the operation. The infant showed no respiratory dysfunction at birth.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Complicaciones Cardiovasculares del Embarazo
/
Transposición de los Grandes Vasos
/
Cesárea
/
Atención Perioperativa
/
Anestesia General
/
Anestesia Obstétrica
Tipo de estudio:
Etiology_studies
Límite:
Adult
/
Female
/
Humans
/
Newborn
/
Pregnancy
Idioma:
Ja
Revista:
Masui
Año:
2003
Tipo del documento:
Article
Pais de publicación:
Japón