International journal of obstetric anesthesia
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Int J Obstet Anesth · Oct 2006
Case ReportsCardiorespiratory symptoms during pregnancy--not always pulmonary embolism.
We describe a case of sudden onset severe cardiorespiratory compromise in a parturient at 36 weeks' gestation. She received treatment for infection, pulmonary oedema and pulmonary embolism before a diagnosis of aortic dissection was made. ⋯ We discuss the difficulties of diagnosis of cardiorespiratory symptoms and the potential hazards of instituting therapy before a definitive diagnosis is reached. The value of a multidisciplinary team approach and the use of portable echocardiography in the investigation of both pulmonary embolism and cardiac disease are emphasised.
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Int J Obstet Anesth · Oct 2006
Case ReportsAnaesthetic management of labour and caesarean delivery of a patient with hyperkalaemic periodic paralysis.
We describe a parturient with hyperkalaemic periodic paralysis who presented for induction of labour and subsequently, caesarean section. Epidural analgesia and anaesthesia were used successfully in a multidisciplinary plan aimed at avoiding a peripartum attack and providing safe delivery. Management of this rare condition is discussed along with a review of the available literature.