Use of remifentanil in general anesthesia for emergency cesarean section in a patient with severe valvular heart disease and pulmonary hypertension

10.5580/217e ◽  
2008 ◽  
Vol 15 (2) ◽  
Keyword(s):  
Pulmonary Hypertension ◽  
Heart Disease ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Valvular Heart Disease ◽  
Emergency Cesarean Section ◽  
Emergency Cesarean

General Anesthesia for Emergency Cesarean Section in a Patient with Severe Aortic Stenosis

1999 ◽  
Vol 37 (5) ◽  
pp. 951
Author(s):  
Jeong Ok Jo ◽  
Mi Jung Ahn ◽  
Ye Young Yang ◽  
Soo Chang Son ◽  
Yun Ee Rhee
Keyword(s):  
Aortic Stenosis ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Severe Aortic Stenosis ◽  
Emergency Cesarean Section ◽  
Emergency Cesarean

scholarly journals Fetomaternal Outcome in Severe Preeclamptic Women Undergoing Emergency Cesarean Section under Either General Or Spinal Anesthesia

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Suman Chattopadhyay ◽  
Ashok Das ◽  
Subrata Pahari
Keyword(s):  
Critical Care ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Spinal Anesthesia ◽  
Neonatal Mortality ◽  
Length Of Hospital Stay ◽  
Pressure Control ◽  
Emergency Cesarean Section ◽  
Emergency Cesarean ◽  
Care Support

This prospective observational study compared the effects of general and spinal anesthesia in 173 severe preeclamptic women undergoing emergency cesarean section. 146 (84.5%) patients underwent spinal anesthesia (SA) and 27 (15.5%) patients had general anesthesia (GA). Most of the patients were primigravid and nulliparous. Intraoperatively SA group required more intravenous fluid and vasopressor support, while GA group required more preoperative labetalol injection for blood pressure control. Overall 13.3% of patients required critical care, particularly GA group (44.4% versus 7.5%;P<0.001). Patients receiving GA had a higher mortality (25.9% versus 1.4%;P<0.001). The length of hospital stay was comparable. Significantly more neonates of patients receiving GA were found to be preterm (77.8% versus 44.5%;P<0.01) and required advanced resuscitation. GA group also had higher neonatal mortality (29.6% versus 11%;P<0.05). To conclude, severe preeclamptic mothers receiving general anesthesia and their babies required more critical care support. Maternal as well as neonatal mortality was significantly higher with general anesthesia.

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