General Anesthesia with Remifentanil for Cesarean Section in a Parturient with an Acoustic Neuroma
| Autor: | Michael G. Richardson, Richard N. Wissler, Julie M. Bédard |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
medicine.medical_specialty Supplemental oxygen medicine.medical_treatment AN - Acoustic neuroma Tumor resection Remifentanil Anesthetic management Anesthesia General Resection Piperidines Pregnancy Anesthesiology medicine Anesthesia Obstetrical Humans Cesarean delivery Alfentanil Craniotomy Cesarean Section business.industry Respiration Neonatal respiratory depression Infant Newborn Oxygen Inhalation Therapy General Medicine Neuroma Acoustic Hydrogen-Ion Concentration Fetal Blood Anesthesiology and Pain Medicine Anesthesia Apgar Score Female business Pregnancy Complications Neoplastic Anesthetics Intravenous medicine.drug |
| Zdroj: | Obstetric Anesthesia Digest. 19:219-221 |
| ISSN: | 0275-665X |
| DOI: | 10.1097/00132582-199912000-00013 |
| Popis: | To describe the anesthetic management of a parturient with a large acoustic neuroma undergoing general anesthesia with remifentanil for Cesarean section. A near-term parturient presented with a large intracranial mass. Cesarean section under general anesthesia was elected one week prior to craniotomy for tumour resection. Remifentanil infusion, 0.2–1.0 μg · kg−1 · min−1, was used from induction to emergence of general anesthesia. The neonate was born seven minutes after the remifentanil infusion was started. She had normal umbilical cord pH and her Apgar scores were 7 and 8, at one and five minutes respectively. Although the neonate received supplemental oxygen, she did not require naloxone. Both mother and neonate made an uneventful recovery. Remifentanil was effective in producing stable hemodynamic conditions, without severe neonatal respiratory depression, during induction and maintenance of general anesthesia for a Cesarean delivery in a parturient with a large intracranial tumour. Decrire la conduite de l’anesthesie generale avec le remifentanil pour une cesarienne chez une patiente enceinte ayant un neurinome acoustique. Une femme enceinte s’est presentee avec une volumineuse masse intracrânienne quelques semaines avant terme. Une cesarienne sous anesthesie generale a ete planifiee une semaine avant de proceder a la resection de la tumeur intracrânienne. Le remifentanil en perfusion intraveineuse a ete utilise de l’induction a l’emergence, a des doses variant de 0.2–1.0 μg · kg−1 · min−1. L’enfant est ne apres sept minutes de perfusion de remifentanil. Les gaz du cordon etaient normaux et les Apgar a une et cinq minutes etaient respectivement 7 et 8. Malgre l’apport temporaire d’oxygene, le nouveau-ne n’a pas eu besoin de naloxone. La mere et l’enfant ont eu une convalescence sans complication. Le remifentanil a permis des conditions hemodynamiques stables, sans produire de depression respiratoire significative chez le nouveau-ne, pendant l’induction et la maintenance de l’anesthesie generale pour une cesarienne chez une patiente avec une volumineuse tumeur intracrânienne. |
| Databáze: | OpenAIRE |
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