Urgent cesarean delivery and prolonged ventilatory support in a parturient with Fontan circulation and undiagnosed pseudocholinesterase deficiency.

Autor: Grim KJ; Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USA., Arendt KW, Jacob AK, Rose CH, Keegan MT
Jazyk: angličtina
Zdroj: International journal of obstetric anesthesia [Int J Obstet Anesth] 2011 Apr; Vol. 20 (2), pp. 184-8.
DOI: 10.1016/j.ijoa.2010.11.006
Abstrakt: A parturient with Fontan circulation required general anesthesia for urgent cesarean delivery and subsequent prolonged postoperative ventilation for newly-diagnosed pseudocholinesterase deficiency. Anesthetic management necessitated a thorough understanding of the hemodynamic principles of the Fontan circulation and physiologic adaptations during surgical delivery and recovery in the intensive care unit.
(Copyright © 2010 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE