International journal of obstetric anesthesia
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Int J Obstet Anesth · Apr 2008
Letter Case ReportsCardiac arrest during caesarean section for twins.
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Int J Obstet Anesth · Apr 2008
Randomized Controlled TrialRemifentanil for cesarean section under general anesthesia: effects on maternal stress hormone secretion and neonatal well-being: a randomized trial.
Remifentanil may attenuate maternal hemodynamic response during cesarean section under general anesthesia, but could cause transient but significant neonatal depression. We investigated the effect of low-dose remifentanil on maternal neuroendocrine response and fetal wellbeing. ⋯ Remifentanil administration before peritoneal incision partially reduced the hormonal stress response. Maternal benefits must be weighed against transitory but significant neonatal respiratory depression. Neonatal resuscitation facilities are mandatory when remifentanil is used.