Regional anaesthesia with a subarachnoid microcatheter for caesarean section in a parturient with aortic stenosis

Anaesthesia
A Pittard, M Vucevic

Abstract

We present a woman in her first pregnancy, with known aortic stenosis prior to conception, who successfully underwent regional anaesthesia for an elective Caesarean section using a subarachnoid microcatheter. The anaesthetic management of patients with aortic stenosis requiring noncardiac surgery is a complex and contentious matter, particularly when the situation is compounded by the physiological changes accompanying pregnancy and delivery. This is the first reported use of a subarachnoid microcatheter in such a patient. The choice of technique is discussed and compared with other options for providing anaesthesia.

References

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Citations

Nov 7, 2002·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Anthony M H Ho, Manoj K Karmakar
Apr 13, 2007·Der Urologe. Ausg. A·O HablerB Zwissler
Dec 20, 2003·Archives of Gynecology and Obstetrics·Ivan A Velickovic, Craig H Leicht
Jan 29, 2005·International Journal of Obstetric Anesthesia·M Van de VeldeB Spitz
Aug 24, 2004·International Journal of Obstetric Anesthesia·I A Velickovic, C H Leicht
Oct 22, 2008·Anesthesia and Analgesia·Kathleen Sachse, Medhat Hannallah
May 3, 2014·Best Practice & Research. Clinical Obstetrics & Gynaecology·James Turnbull, Rory Bell
Oct 4, 2006·Current Opinion in Anaesthesiology·H Metzler
Sep 8, 2009·International Journal of Obstetric Anesthesia·A M IoscovichS H Halpern
Feb 7, 2009·International Journal of Obstetric Anesthesia·E AlonsoE Alsina
Dec 3, 2008·International Journal of Obstetric Anesthesia·M ParneixP Colson
Aug 30, 2008·Best Practice & Research. Clinical Obstetrics & Gynaecology·Felicity Plaat, Sarah Wray
Apr 14, 2010·Anaesthesia·J Picard, T Meek
Jan 4, 2005·International Journal of Obstetric Anesthesia·I BrowneK McKeating
Sep 17, 2004·Regional Anesthesia and Pain Medicine·Susan B McDonald
Feb 24, 2001·Hospital Medicine·S M Burns, C M Cowan
Mar 23, 2001·Anaesthesia and Intensive Care·T J Pavy
Jun 15, 2004·British Journal of Anaesthesia·P RayL E Shutt

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