Successful management of severe aortocaval compression in twin pregnancy.
In a patient with severe aortocaval compression, simultaneous brachial and femoral blood pressure measurements demonstrated the need for a 30 degrees left-down tilt to avoid significant obstruction of the vessels. When emergency cesarean section became necessary, proper positioning of the patient was readily accomplished.
D000328:Adult; D000773:Anesthesia, Obstetrical; D001012:Aorta, Abdominal; D001034:Apgar Score; D001784:Blood Gas Analysis; D001794:Blood Pressure; D001916:Brachial Artery; D002585:Cesarean Section; D003251:Constriction, Pathologic; D005260:Female; D005263:Femoral Artery; D005318:Fetal Heart; D006339:Heart Rate; D006400:Hematocrit; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007024:Hypotension, Orthostatic / Q000209:etiology; D007231:Infant, Newborn; D008297:Male; D007744:Obstetric Labor Complications / Q000628:therapy; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000628:therapy*; D011272:Pregnancy, Multiple; D014427:Twins; D014682:Vena Cava, Inferior