[Continuous epidural anesthesia for cesarean section in a patient with Takayasus arteritis: case report].
OBJECTIVE
Continuous epidural anesthesia with titrated doses of local anesthetics is safe and effective for patients not tolerating blood pressure fluctuations. This report aimed at presenting a case in which continuous epidural anesthesia for Cesarean section in a patient with Takayasus arteritis was successfully induced.


METHODS
Primiparous patient, 25 years old, 63 kg, Takayasus arteritis, 34 to 35 weeks of gestation, acute fetal distress, blood pressure = 155/85, HR = 92, no carotid, upper and right lower limb pulse. Patient had only left palpable popliteal pulse. Epidural continuous anesthesia was induced with 25 mg titrated doses of 0.5% bupivacaine with epinephrine (1:200.000), in 5-minute intervals, up to a total dose of 100 mg with 2 mg morphine and 100 microg fentanyl.


CONCLUSIONS
Continuous epidural anesthesia with titrated doses of 0.5% bupivacaine may be used in patients with Takayasus arteritis, provided all precaution measures are taken with such patients.
Buettel
Aloísio Cerqueira
AC
Casa de Saúde Santa Lúcia, Hospital São Paulo, Muriaé, MG, Brazil. alobuettel@bol.com.br
Castro
Roberto Monteiro de
RM
Chaves
Itagyba Martins Miranda
IM
Gonçalves
Luiz Henrique
LH