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Anaesthetic management of caesarean section in a patient with a permanent pacemaker and severe bilateral ventricular dilatation.

John Dingley

Int J Obstet Anesth, Volume: 9, Issue: 1, Pages: 51 - 54

Swansea University Author: John Dingley

Abstract

A 33-year-old primigravida presented at 32 weeks gestation with increasing shortness of breath related to left ventricular failure. She had severe bilateral ventricular dilatation of unknown aetiology. An urgent caesarean section was required when she failed to improve on medical therapy, and for th...

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Published in: Int J Obstet Anesth
Published: 2000
URI: https://cronfa.swan.ac.uk/Record/cronfa27498
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first_indexed 2016-04-28T01:13:16Z
last_indexed 2018-02-09T05:10:39Z
id cronfa27498
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spelling 2016-04-27T21:58:29.6980374 v2 27498 2016-04-27 Anaesthetic management of caesarean section in a patient with a permanent pacemaker and severe bilateral ventricular dilatation. 1283ffdd09b091ec57ec3e235a48cfcc John Dingley John Dingley true false 2016-04-27 PMSC A 33-year-old primigravida presented at 32 weeks gestation with increasing shortness of breath related to left ventricular failure. She had severe bilateral ventricular dilatation of unknown aetiology. An urgent caesarean section was required when she failed to improve on medical therapy, and for this she requested general anaesthesia. The patient had a permanent pacemaker for congenital complete heart block and Harrington rods for kyphoscoliosis. In view of the cardiac problems we transferred the patient to our cardiac unit and performed the procedure with full invasive haemodynamic monitoring. An alfentanil based modified rapid sequence induction resulted in stable maternal haemodynamics. The 2.2 kg male neonate initially required ventilation for 12 h, but then made a good recovery along with his mother. Journal Article Int J Obstet Anesth 9 1 51 54 31 1 2000 2000-01-31 COLLEGE NANME Medicine COLLEGE CODE PMSC Swansea University 2016-04-27T21:58:29.6980374 2016-04-27T21:58:29.7136378 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine John Dingley 1
title Anaesthetic management of caesarean section in a patient with a permanent pacemaker and severe bilateral ventricular dilatation.
spellingShingle Anaesthetic management of caesarean section in a patient with a permanent pacemaker and severe bilateral ventricular dilatation.
John Dingley
title_short Anaesthetic management of caesarean section in a patient with a permanent pacemaker and severe bilateral ventricular dilatation.
title_full Anaesthetic management of caesarean section in a patient with a permanent pacemaker and severe bilateral ventricular dilatation.
title_fullStr Anaesthetic management of caesarean section in a patient with a permanent pacemaker and severe bilateral ventricular dilatation.
title_full_unstemmed Anaesthetic management of caesarean section in a patient with a permanent pacemaker and severe bilateral ventricular dilatation.
title_sort Anaesthetic management of caesarean section in a patient with a permanent pacemaker and severe bilateral ventricular dilatation.
author_id_str_mv 1283ffdd09b091ec57ec3e235a48cfcc
author_id_fullname_str_mv 1283ffdd09b091ec57ec3e235a48cfcc_***_John Dingley
author John Dingley
author2 John Dingley
format Journal article
container_title Int J Obstet Anesth
container_volume 9
container_issue 1
container_start_page 51
publishDate 2000
institution Swansea University
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 0
active_str 0
description A 33-year-old primigravida presented at 32 weeks gestation with increasing shortness of breath related to left ventricular failure. She had severe bilateral ventricular dilatation of unknown aetiology. An urgent caesarean section was required when she failed to improve on medical therapy, and for this she requested general anaesthesia. The patient had a permanent pacemaker for congenital complete heart block and Harrington rods for kyphoscoliosis. In view of the cardiac problems we transferred the patient to our cardiac unit and performed the procedure with full invasive haemodynamic monitoring. An alfentanil based modified rapid sequence induction resulted in stable maternal haemodynamics. The 2.2 kg male neonate initially required ventilation for 12 h, but then made a good recovery along with his mother.
published_date 2000-01-31T03:33:20Z
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score 11.014067

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