Bupivacaine-fentanyl epidural analgesia for a parturient in status asthmaticus.
Regional anaesthesia is a suitable technique for the management of the asthmatic parturient. We report the case of an asthmatic gravida in labour in whom prompt institution of bupivacaine-fentanyl epidural analgesia was associated with enhancement of the effectiveness of concurrent medical therapy for bronchospasm. Prior to the initiation of epidural blockade, inhaled atropine was employed in an effort to reduce parasympathetic tone in the bronchial smooth muscle. Sustained clinical improvement did not occur until after delivery of the fetus and placenta.
Younker
D
D
Department of Anesthesiology, Baylor College of Medicine, Houston, Texas 77030.
Clark
R
R
Tessem
J
J
Joyce
T H
TH
Kubicek
M
M
D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D001249:Asthma / Q000188:drug therapy; D002045:Bupivacaine; D005260:Female; D005283:Fentanyl; D006801:Humans; D007743:Labor, Obstetric; D011247:Pregnancy; D011248:Pregnancy Complications; D013224:Status Asthmaticus / Q000188:drug therapy
D005283:Fentanyl; D002045:Bupivacaine