• Int J Obstet Anesth · Jan 2004

    Case Reports

    Neonatal chest wall rigidity following the use of remifentanil for cesarean delivery in a patient with autoimmune hepatitis and thrombocytopenia.

    • B Carvalho, E J Mirikitani, D Lyell, D A Evans, M Druzin, and E T Riley.
    • Department of Anesthesia, Stanford University School of Medicine, Stanford, California, USA. bcarvalho@stanford.edu
    • Int J Obstet Anesth. 2004 Jan 1;13(1):53-6.

    AbstractRemifentanil is a useful adjunct in general anesthesia for high-risk obstetric patients. It provides effective blunting of the rapid hemodynamic changes that may be associated with airway manipulation and surgical stimulation. There have been no previous reports of opioid-related rigidity in the neonate delivered by a parturient receiving intraoperative remifentanil. We present a case of short-lived neonatal rigidity and respiratory depression following remifentanil administration during cesarean section to a parturient with autoimmune hepatitis complicated by cirrhosis, esophageal varices and thrombocytopenia.

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