Refractory hypotension during caesarean section following pre-operative administration of anti-hypertensive agents.
Control of hypertension during pregnancy may require the use of more than one agent. Occasionally, the combined effect of these agents can cause acute hypotension. This report describes a patient who underwent emergency caesarean section for concealed antepartum haemorrhage but had persistent hypotension most probably due to a combination of labetalol and nifedipine given preoperatively.
Department of Anaesthetics, Birmingham Women's Hospital, Birmingham, UK. achalu@hotmail.com
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S
Kannan
J P
JP
Millns
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M
Kilby