Literature DB >> 17175437

Emergency cesarean section in a patient with Fontan circulation using an indwelling epidural catheter.

A Ioscovich1, A Briskin, A Fadeev, S Grisaru-Granovsky, S Halpern.   

Abstract

Management of parturients with a history of Fontan procedure requires careful monitoring of cardiovascular parameters and anticipation of potential complications. We describe potential pitfalls in a parturient with atriopulmonary Fontan circulation, who received epidural analgesia for labor and who later required emergency cesarean section. Low-dose local anesthetic in combination with meperidine provided excellent perioperative epidural analgesia and cardiovascular stability. Epidural analgesia during labor offered optimal pain relief and facilitated conversion to surgical anesthesia for an emergency cesarean section.

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Year:  2006        PMID: 17175437     DOI: 10.1016/j.jclinane.2006.05.016

Source DB:  PubMed          Journal:  J Clin Anesth        ISSN: 0952-8180            Impact factor:   9.452


  6 in total

Review 1.  Anesthetic management of noncardiac surgery for patients with single ventricle physiology.

Authors:  Koichi Yuki; Alfonso Casta; Shoichi Uezono
Journal:  J Anesth       Date:  2011-01-01       Impact factor: 2.078

2.  The Evaluation of Applied Anaesthetic Techniques for Caesarean in Parturients with Cardiac Diseases: Retrospective Analysis.

Authors:  Özlem İlhan Yıldırım; İlkben Günüşen; Asuman Sargın; Vicdan Fırat; Semra Karaman
Journal:  Turk J Anaesthesiol Reanim       Date:  2014-07-11

3.  Fontan's circulation with dextrocardia, recent pulmonary embolism, and inferior vena cava filter: Anesthetic challenges for urgent hysterectomy.

Authors:  Preet Mohinder Singh; Anuradha Borle; Rashmi Ramachandran; Anjan Trikha; Basavana Gouda Goudra
Journal:  Ann Card Anaesth       Date:  2016 Jan-Mar

4.  Consensus Document of the Italian Association of Hospital Cardiologists (ANMCO), Italian Society of Pediatric Cardiology (SICP), and Italian Society of Gynaecologists and Obstetrics (SIGO): pregnancy and congenital heart diseases.

Authors:  Innocenzo Bianca; Giovanna Geraci; Michele Massimo Gulizia; Gabriele Egidy Assenza; Chiara Barone; Marcello Campisi; Annalisa Alaimo; Rachele Adorisio; Francesca Comoglio; Silvia Favilli; Gabriella Agnoletti; Maria Gabriella Carmina; Massimo Chessa; Berardo Sarubbi; Maurizio Mongiovì; Maria Giovanna Russo; Sebastiano Bianca; Giuseppe Canzone; Marco Bonvicini; Elsa Viora; Marco Poli
Journal:  Eur Heart J Suppl       Date:  2017-05-02       Impact factor: 1.803

5.  Investigation of analgesic dose of nalbuphine combined with remifentanil after radical gastrectomy.

Authors:  Yang Zhang; Rongfang Zhang; Nannan Ding
Journal:  Exp Ther Med       Date:  2019-06-28       Impact factor: 2.447

6.  Anaesthesia for a minor procedure in a patient with fontan physiology.

Authors:  Shirley D'souza; Bindiya Satarkar; Sidhesh S Bharne
Journal:  Indian J Anaesth       Date:  2012-11
  6 in total

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