• Anaesth Intensive Care · Oct 1999

    Case Reports

    Remifentanil in emergency caesarean section in pre-eclampsia complicated by thrombocytopenia and abnormal liver function.

    • E K Johannsen and A J Munro.
    • Department of Anaesthesia, Waikato Hospital, Hamilton, New Zealand.
    • Anaesth Intensive Care. 1999 Oct 1;27(5):527-9.

    AbstractWe describe the use of remifentanil in a woman with severe pre-eclampsia who presented for emergency caesarean section. Remifentanil was effective in obtunding the hypertensive response to laryngoscopy and intubation. Previous studies have found no significant adverse effects of remifentanil on the neonate. With its short duration of action, the use of this new opioid has several potential advantages in the above setting. Further studies are required to explore the use of remifentanil as an adjunct to obstetric general anaesthesia.

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