[Propofol anesthesia for an emergent caesarean section in a patient with asthma].
We report a case of emergency caesarean section due to bleeding from placenta praevia under general anesthesia in a patient with asthma. General anesthesia was induced by propofol 150 mg and suxamethonium 80 mg, and operation was started immediately after tracheal intubation under cricoid cartilage pressure. While induction-delivery time took about 270 seconds, Apgar scores at 1 and 5 minutes are 8 and 9 points, respectively. Plasma concentration of propofol in umbilical vein was 0.73 microgram.ml-1 by HPLC. Although anesthetic maintenance was carried out by oxygen-nitrous oxide-isoflurane after delivery, no asthmatic attack was seen throughout the operation. Anesthetic induction by propofol for emergency caesarean section might be safe and useful in a patient with asthma with little effects to neonates.
Kakinohana
M
M
Department of Anesthesiology, Okinawa Prefectural Miyako Hospital.
Fujimine
T
T
Kakinohana
O
O
D000328:Adult; D000768:Anesthesia, General; D000773:Anesthesia, Obstetrical; D018686:Anesthetics, Intravenous; D001249:Asthma; D002585:Cesarean Section; D004630:Emergencies; D005260:Female; D005312:Fetal Blood / Q000378:metabolism; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications; D015742:Propofol
D018686:Anesthetics, Intravenous; D015742:Propofol