Extradural analgesia in the intrapartum management of a patient with pulmonary hypertension.
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 micrograms 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.
Power
K J
KJ
Department of Anaesthesia, Royal United Hospital, Bath, Avon.
Avery
A F
AF
D000328:Adult; D015360:Analgesia, Epidural; D000773:Anesthesia, Obstetrical; D001794:Blood Pressure; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000503:physiopathology*; D008991:Monitoring, Physiologic; D007744:Obstetric Labor Complications / Q000503:physiopathology*; D011247:Pregnancy; D011651:Pulmonary Artery / Q000503:physiopathology