Successful spinal anaesthesia for caesarean section in a patient with Marfan syndrome complicated by dural ectasia

被引：4
|
作者：
Skjellerup, N. [1 ]
机构：
[1] Christchurch Publ Hosp, Canterbury Dist Hlth Board, 2 Riccarton Ave, Christchurch, New Zealand
来源：
INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA | 2018年 / 35卷
关键词：
Anaesthetic technique: subarachnoid block; Caesarean section; Marfan syndrome: dural ectasia; CEREBROSPINAL-FLUID VOLUME; LOCAL-ANESTHETICS; HYPERBARIC BUPIVACAINE; EPIDURAL-ANESTHESIA; SPREAD; LUMBAR; BARICITY; DURATION; DELIVERY; TEMPERATURE;
D O I：
10.1016/j.ijoa.2017.12.008
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Marfan syndrome is a connective tissue disorder that may be complicated during pregnancy by aortic dissection. Caesarean section may be selected to avoid the haemodynamic challenges of vaginal birth. The common occurrence of dural ectasia in patients with Marfan syndrome is known to be associated with failed neuraxial anaesthesia. This report describes the administration of spinal anaesthesia to a woman with Marfan syndrome, and discusses why a hypobaric bupivacaine and opioid mixture, warmed to 37 degrees C and injected intrathecally with the patient seated, produced successful surgical anaesthesia. (C) 2017 Elsevier Ltd. All rights reserved.
引用
收藏
页码：88 / 92
页数：5
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