EXTRADURAL ANALGESIA IN THE INTRAPARTUM MANAGEMENT OF A PATIENT WITH PULMONARY HYPERTENSION

Open Access

1 July 1989

journal article
case report
Published by Elsevier in British Journal of Anaesthesia

Vol. 63 (1) , 116-120
https://doi.org/10.1093/bja/63.1.116

Abstract

We describe the intrapartum management of a patient with severe pulmonary hypertension using extradural analgesia with a low dose of 0.125% bupivacaine and fentanyl 20 μg ml⁻¹ by continuous infusion at a rate of 2.5 ml h⁻¹. This provided effective analgesia and haemodynamic stability. The importance of continuous direct measurement of pulmonary artery pressure is emphasized.

Keywords

PULMONARY HYPERTENSION
PAIN MANAGEMENT
ANALGESIA (PAIN ABSENCE)
PULMONARY ARTERY PRESSURE
INTRAVENOUS INFUSION
CONTINUOUS
BUPIVACAINE
HEMODYNAMICS
FENTANYL

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