Anesthesia for Emergency Cesarean Section in a Parturient with Noonan Syndrome
نویسندگان
چکیده
Patients with Noonan syndrome are characterized by many anesthetic problems, primarily related to potential difficult airway and technical issues with regional anesthesia. We describe the anesthetic management of a difficult case of a parturient with Noonan syndrome requiring emergency Cesarean section under spinal anesthesia. We had to evaluate the patient within a limited amount of time because of fetal distress. Although spinal injection was easily accomplished, it resulted in inadequate sensory block requiring supplemental analgesics and sedatives.
منابع مشابه
General anesthesia with remifentanil for cesarean section in a parturient with severe mitral and tricuspid regurgitation
Valvular heart lesions have deleterious effects on hemodynamics in parturients during pregnancy. Cesarean section with an opioid-based general anesthesia is used to alleviate the adverse effects. We described a case of a 28-year-old primigravida at 37 weeks’ gestation with a diagnosis of severe mitral regurgitation, tricuspid regurgitation, and pulmonary hypertension in active labor. Cesarean s...
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Mitral regurgitation is the second most common valvular heart disease in parturients with significant effects on the mother and the neonate especially after delivery. Regional anesthesia is preferred over general anesthesia for cesarean section due to decreased maternal mortality [1]. However, general anesthesia might be indicated where regional anesthesia is contraindicated or fails or when th...
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