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Ann Fr Anesth Reanim · Jan 1993
Case Reports[Cesarean section, mitral valve disease and pulmonary hypertension. Implications of hemodynamic monitoring on anesthetic management].
- B Lenoir, C Freiermuth, A Bonnet, and J Marty.
- Service d'Anesthésie-Réanimation, Hôpital Beaujon, Clichy.
- Ann Fr Anesth Reanim. 1993 Jan 1;12(6):582-6.
AbstractWe present the case of a 25-year-old woman with mitral valve disease and severe pulmonary hypertension scheduled for Caesarean section under general anaesthesia. General anaesthesia for such cardiac patients requires usually high doses of fentanyl prior to intubation, which favours maternal inhalation and neonatal ventilatory depression. Invasive haemodynamic monitoring allowed a rapid sequence induction, with an optimal drug titration and an early recovery.
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