Use of remifentanil for tracheal intubation for caesarean section in a patient with suxamethonium apnoea.
A parturient presented for elective caesarean section with a history of multiple spinal operations and scoliosis and a biochemical diagnosis of suxamethonium apnoea. She declined any attempt at regional anaesthesia. We describe the use of a thiopental/remifentanil technique to relax the larynx and provide rapid and excellent conditions for laryngoscopy and tracheal intubation. The parturient awoke following an uneventful caesarean section with excellent pain relief and no recall. The baby had normal Apgar scores and umbilical blood gas measurements.
Alexander
R
R
Department of Anaesthetics, Worcestershire Royal Hospital, Charles Hastings Way, Worcester WR5 1DD, UK.
Fardell
S
S
D000328:Adult; D000701:Analgesics, Opioid; D000768:Anesthesia, General / Q000379:methods*; D000773:Anesthesia, Obstetrical / Q000379:methods*; D001049:Apnea / Q000139:chemically induced; D002585:Cesarean Section; D000075202:Contraindications; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods; D009467:Neuromuscular Depolarizing Agents / Q000009:adverse effects; D010880:Piperidines; D011247:Pregnancy; D011256:Pregnancy Outcome; D000077208:Remifentanil; D013390:Succinylcholine / Q000009:adverse effects
D000701:Analgesics, Opioid; D009467:Neuromuscular Depolarizing Agents; D010880:Piperidines; D013390:Succinylcholine; D000077208:Remifentanil