• Int J Obstet Anesth · Jul 2011

    Case Reports

    Topical vasoconstrictor use for nasal intubation during pregnancy complicated by cardiomyopathy and preeclampsia.

    • K W Arendt, K Khan, T B Curry, and L C Tsen.
    • Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USA. arendt.katherine@mayo.edu
    • Int J Obstet Anesth. 2011 Jul 1;20(3):246-9.

    AbstractAnkylosing spondylitis presents challenges for the obstetric anesthesiologist in administering neuraxial anesthesia or managing the airway. A pregnant patient with ankylosing spondylitis, cardiomyopathy and preeclampsia requiring cesarean delivery was managed with an awake nasotracheal fiberoptic intubation. The use of topical cocaine, epinephrine, phenylephrine, and oxymetazoline to produce nasal vasoconstriction is discussed. Selective alpha-2 agonists that can potentially provide nasal mucosa vasoconstriction and placental vasculature vasodilation are also discussed.Copyright © 2010 Elsevier Ltd. All rights reserved.

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