Caesarean section in a diabetic patient with a recent myocardial infarction.
This is a report of a 38-yr-old parturient with multiple medical problems including diabetes mellitus, bronchial asthma, chronic myelogenous leukaemia, pre-eclampsia and a recent myocardial infarction. After medical management in the coronary care unit, it was decided to proceed with a Caesarean section. The choice of anaesthetic was made by the patient and had to be modified in accordance with her medical condition. Cardiovascular monitoring included PA catheterisation and transoesophageal echocardiography. A general anaesthetic was performed using fentanyl, thiopentone and succinylcholine. The outcome was satisfactory for both parturient and baby.
Spencer
J
J
Department of Anesthesiology, New York Hospital/Cornell Medical Center, New York 10021.
Gadalla
F
F
Wagner
W
W
Blake
J
J
D000328:Adult; D000768:Anesthesia, General; D000773:Anesthesia, Obstetrical; D001249:Asthma / Q000150:complications / Q000188:drug therapy; D002585:Cesarean Section; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000188:drug therapy; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D015464:Leukemia, Myelogenous, Chronic, BCR-ABL Positive / Q000150:complications; D008297:Male; D009203:Myocardial Infarction / Q000150:complications*; D011225:Pre-Eclampsia; D011247:Pregnancy; D011248:Pregnancy Complications; D011249:Pregnancy Complications, Cardiovascular; D011252:Pregnancy Complications, Neoplastic; D011254:Pregnancy in Diabetics