General anaesthesia using remifentanil for caesarean section in parturients with critical aortic stenosis: a series of four cases

Orme, R. M. L’E.; Grange, C; Ainsworth, Q.P.; Grebenik, Catherine

doi:10.1016/j.ijoa.2003.12.008

Cited by 52 publications

(35 citation statements)

References 20 publications

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“…Moreover, the adverse effects of positive-pressure ventilation on the venous return may ultimately lead to cardiac failure. 14,15,16 ) Despite these disadvantages, if general anaesthesia is contemplated, tachycardia, inducing drugs should be avoided. A beta-adrenergic receptor antagonist and an adequate dose of opioid like fentanyl should be administered before or during the induction of general anaesthesia.…”

Section: Discussionmentioning

confidence: 99%

Pregnancy With Severe Mitral Stenosis With Post Cesarean Pph– A Challenge

Santpur¹,

Santpur²,

Kaul³

2013

jemds

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Section: Discussionmentioning

confidence: 99%

Pregnancy With Severe Mitral Stenosis With Post Cesarean Pph– A Challenge

Santpur¹,

Santpur²,

Kaul³

2013

jemds

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“…The use of remifentanil for cesarean section under general anesthesia has been reported in various clinical situations [7,[11][12][13][14][15], including those related to cardiac disease [7,[11][12][13], liver disease [14], and neurologic disease [15]. Most of these reports noted that the maternal hemodynamic changes associated with laryngoscopy and surgical incision could be managed with remifentanil without prolonged neonatal depression.…”

Section: Discussionmentioning

confidence: 99%

“…Recent reports have suggested that remifentanil provides maternal hemodynamic stability and excellent neonatal outcomes [5][6][7]. However, few case reports in English describe the use of remifentanil for cesarean section in patients with intracranial hemorrhage.…”

Section: Introductionmentioning

confidence: 99%

Remifentanil use for cesarean section in a patient with intracranial re-ruptured arteriovenous malformation

et al. 2011

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We describe the successful administration of remifentanil as part of the anesthetic technique used for cesarean section performed under general anesthesia in a 24-year-old woman with intracranial re-hemorrhage caused by re-ruptured arteriovenous malformation. A low dose of remifentanil was useful to obtund the hypertensive response during induction and maintenance of anesthesia without neonatal respiratory depression.

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“…The left ventricle appropriately and concentrically hypertrophies and becomes markedly less compliant, although contractility is usually well preserved. The transvalvular gradient increases progressively throughout pregnancy as a result of increasing blood volume and decreasing SVR [29][30][31].…”

Section: Aortic Stenosismentioning

confidence: 99%

Anesthesia for pregnant women with valvular heart disease: the state-of-the-art

Kuczkowski

Zundert²

2007

J Anesth

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Pregnancy results in dramatic changes in the cardiovascular system. Maternal heart disease complicates 0.2%-3% of pregnancies. Valvular heart disease in women of reproductive age is most commonly due to rheumatic heart disease, endocarditis, or congenital abnormalities. In general, regurgitant lesions are well tolerated during pregnancy because the increased plasma volume and lowered systemic vascular resistance result in increased cardiac output. In contrast, stenotic valvular disease is poorly tolerated with advancing pregnancy, owing to the inability to increase cardiac output in relation to the increased plasma volume preload. The choice of anesthesia depends on the lesion and its severity. Usually, regional anesthesia provides the least amount of alteration in hemodynamics, although general anesthesia for cesarean section can be equally safe when the abrupt changes associated with laryngoscopy, intubation, and extubation are blunted by the appropriate choice of pharmacological agents and anesthetic techniques.

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General anaesthesia using remifentanil for caesarean section in parturients with critical aortic stenosis: a series of four cases

Cited by 52 publications

References 20 publications

Pregnancy With Severe Mitral Stenosis With Post Cesarean Pph– A Challenge

Pregnancy With Severe Mitral Stenosis With Post Cesarean Pph– A Challenge

Remifentanil use for cesarean section in a patient with intracranial re-ruptured arteriovenous malformation

Anesthesia for pregnant women with valvular heart disease: the state-of-the-art

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