The use of remifentanil during general anaesthesia for caesarean delivery in two patients with severe heart dysfunction

R. Wadsworth; R. Greer; J. J M MacDonald; Akbar Vohra

doi:10.1054/ijoa.2001.0910

The use of remifentanil during general anaesthesia for caesarean delivery in two patients with severe heart dysfunction

R. Wadsworth^*, R. Greer, J. J M MacDonald, Akbar Vohra

^*Corresponding author for this work

Division of Cardiovascular Sciences (L5)

Saint Mary's Hospital for Women and Children

Research output: Contribution to journal › Article › peer-review

Abstract

We describe the management of two patients with severe heart dysfunction requiring caesarean section because of incipient left ventricular failure. One patient had a bicuspid valve and developed symptoms of severe aortic incompetence during pregnancy. The second patient had known hypertrophic obstructive cardiomyopathy and developed chest pain and symptoms of left ventricular failure at 32 weeks' gestation. In both cases the worsening cardiac disease prompted the decision for operative delivery. We decided to employ general anaesthesia and achieved cardiovascular stability using remifentanil as an adjunct.

Original language	English
Pages (from-to)	38-43
Number of pages	6
Journal	International Journal of Obstetric Anesthesia
Volume	11
Issue number	1
DOIs	https://doi.org/10.1054/ijoa.2001.0910
Publication status	Published - 2002

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1054/ijoa.2001.0910

Cite this

@article{df82ca47c8e44d92b5bfadb729a6c7a4,

title = "The use of remifentanil during general anaesthesia for caesarean delivery in two patients with severe heart dysfunction",

abstract = "We describe the management of two patients with severe heart dysfunction requiring caesarean section because of incipient left ventricular failure. One patient had a bicuspid valve and developed symptoms of severe aortic incompetence during pregnancy. The second patient had known hypertrophic obstructive cardiomyopathy and developed chest pain and symptoms of left ventricular failure at 32 weeks' gestation. In both cases the worsening cardiac disease prompted the decision for operative delivery. We decided to employ general anaesthesia and achieved cardiovascular stability using remifentanil as an adjunct.",

author = "R. Wadsworth and R. Greer and MacDonald, {J. J M} and Akbar Vohra",

year = "2002",

doi = "10.1054/ijoa.2001.0910",

language = "English",

volume = "11",

pages = "38--43",

journal = "International Journal of Obstetric Anesthesia",

issn = "0959-289X",

publisher = "Churchill Livingstone",

number = "1",

}

TY - JOUR

T1 - The use of remifentanil during general anaesthesia for caesarean delivery in two patients with severe heart dysfunction

AU - Wadsworth, R.

AU - Greer, R.

AU - MacDonald, J. J M

AU - Vohra, Akbar

PY - 2002

Y1 - 2002

N2 - We describe the management of two patients with severe heart dysfunction requiring caesarean section because of incipient left ventricular failure. One patient had a bicuspid valve and developed symptoms of severe aortic incompetence during pregnancy. The second patient had known hypertrophic obstructive cardiomyopathy and developed chest pain and symptoms of left ventricular failure at 32 weeks' gestation. In both cases the worsening cardiac disease prompted the decision for operative delivery. We decided to employ general anaesthesia and achieved cardiovascular stability using remifentanil as an adjunct.

AB - We describe the management of two patients with severe heart dysfunction requiring caesarean section because of incipient left ventricular failure. One patient had a bicuspid valve and developed symptoms of severe aortic incompetence during pregnancy. The second patient had known hypertrophic obstructive cardiomyopathy and developed chest pain and symptoms of left ventricular failure at 32 weeks' gestation. In both cases the worsening cardiac disease prompted the decision for operative delivery. We decided to employ general anaesthesia and achieved cardiovascular stability using remifentanil as an adjunct.

UR - http://www.scopus.com/inward/record.url?scp=0036164198&partnerID=8YFLogxK

U2 - 10.1054/ijoa.2001.0910

DO - 10.1054/ijoa.2001.0910

M3 - Article

AN - SCOPUS:0036164198

SN - 0959-289X

VL - 11

SP - 38

EP - 43

JO - International Journal of Obstetric Anesthesia

JF - International Journal of Obstetric Anesthesia

IS - 1

ER -

The use of remifentanil during general anaesthesia for caesarean delivery in two patients with severe heart dysfunction

Abstract

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this