Alfentanil for urgent caesarean section in a patient with severe mitral stenosis and pulmonary hypertension

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
M A BatsonE Csontos

Abstract

We present the case of a parturient with severe mitral stenosis and pulmonary hypertension who received general anaesthesia using alfentanil for urgent Caesarean section. Alfentanil promoted haemodynamic stability and allowed immediate postoperative extubation. Epidural morphine provided postoperative analgesia. This combination permitted early ambulation and prevention of thromboembolism. A disadvantage of this technique, neonatal respiratory depression, was promptly reversed with a single dose of naloxone. The anaesthetic management of mitral stenosis in pregnancy is discussed and the neonatal pharmacokinetics of maternally administered alfentanil are presented.

References

Oct 1, 1979·Obstetrical & Gynecological Survey·N GleicherH Jaffin
Nov 1, 1987·Anesthesia and Analgesia·W J GreeleyD P Davis
Oct 1, 1987·British Journal of Anaesthesia·N RedfernC J Hull
Jul 1, 1988·Anesthesia and Analgesia·M S GolubB R Kuhnert
Aug 1, 1986·Anaesthesia and Intensive Care·P Roessler, T F Lambert
Mar 1, 1986·Anesthesia and Analgesia·D E KoehntopJ J Buckley
Aug 15, 1985·American Journal of Obstetrics and Gynecology·S L ClarkJ Horenstein
Jul 1, 1984·British Journal of Anaesthesia·P Foëx
Feb 1, 1984·Anesthesiology·T E McDonnellJ J Williams
Mar 1, 1984·Anesthesia and Analgesia·R R Bartkowski, T E McDonnell
Jul 1, 1983·Anesthesia and Analgesia·M A RosenJ D Curtis
Jun 26, 1965·British Medical Journal·A M JONES, G HOWITT

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Citations

Jun 1, 1994·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·K G SmedstadD H Morison
Jul 3, 1999·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J M BédardR N Wissler
Jun 1, 2000·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·T R ManullangT D Egan
Oct 1, 1991·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·T W Breen, J A Janzen
Mar 27, 2012·European Journal of Obstetrics, Gynecology, and Reproductive Biology·N McAllisterS W Lindow
Jan 7, 2005·Regional Anesthesia and Pain Medicine·Peter H Pan, Robert D'Angelo
Feb 1, 1994·Anaesthesia and Intensive Care·S J RowbottomL P Cheung

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