[A pregnant woman with convulsion treated with diazepam which was reversed with flumazenil just prior to cesarean section].
A 37 year-old female in 36th week gestation with convulsion treated with intravenous diazepam underwent an emergency cesarean section. Just prior to induction of anesthesia flumazenil was administrated intravenously to reverse the effects of diazepam in both mother and fetus. Cesarean section was successful under general anesthesia (N2O-pentazocine). The neonate's Apgar score was 6 points at 1 minute and 7 points at 5 minutes after delivery. We conclude that intravenous administration of flumazenil just prior to Cesarean section is effective in a patient with convulsion treated with diazepam.
Shibata
T
T
Department of Anesthesia, Toyoko General Hospital, School of Medicine, St. Marianna University, Kawasaki.
Kubota
N
N
Yokoyama
H
H
D000328:Adult; D000768:Anesthesia, General; D000773:Anesthesia, Obstetrical; D002585:Cesarean Section; D003975:Diazepam / Q000037:antagonists & inhibitors / Q000627:therapeutic use*; D004461:Eclampsia / Q000188:drug therapy*; D004630:Emergencies; D005260:Female; D005442:Flumazenil / Q000008:administration & dosage* / Q000494:pharmacology; D006801:Humans; D007275:Injections, Intravenous; D011247:Pregnancy
D005442:Flumazenil; D003975:Diazepam