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Int J Obstet Anesth · Nov 2015
Case ReportsScleroderma and pulmonary hypertension complicating two pregnancies: use of neuraxial anesthesia, general anesthesia, epoprostenol and a multidisciplinary approach for cesarean delivery.
- D Moaveni, J Cohn, J Brodt, K Hoctor, and J Ranasinghe.
- University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL, USA. Electronic address: dmoaveni@med.miami.edu.
- Int J Obstet Anesth. 2015 Nov 1; 24 (4): 375-82.
AbstractLiterature regarding the anesthetic care of patients with scleroderma during labor and delivery is limited to remote case reports. No recent publications provide information on the anesthetic management of patients with coexisting pulmonary hypertension. This report describes the anesthetic and multidisciplinary management of two pregnant patients with concomitant scleroderma and pulmonary hypertension undergoing cesarean delivery; one with neuraxial anesthesia and one with general anesthesia. Considerations for neuraxial and general anesthesia in patients with concurrent scleroderma and pulmonary hypertension are discussed.Copyright © 2015 Elsevier Ltd. All rights reserved.
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