title: Use of remifentanil in a patient with Eisenmenger syndrome requiring urgent cesarean section.
abstract: We describe a case of 41-yr.-old multigravida at 35 weeks gestation, with a diagnosis of Eisenmenger syndrome, requiring urgent Cesarean section. The parturient had signs and symptoms of respiratory distress due to high pulmonary artery pressure, and the pregnancy was complicated by preeclampsia. A general anesthetic consisting of ketamine and etomidate and an intravenous infusion of remifentanil were used to provide stable anesthesia and analgesia for a successful delivery. The baby was delivered with high Apgar scores. The potential benefits and safety of the use of remifentanil in parturients with high pulmonary artery pressures are discussed.
authors.affiliation: Department of Anesthesiology and Intensive Care, Selcuk Universitesi, Tip Fakultesi, Anestezi ve Reanimasyon AD, Konya, Turkey. aduman@selcuk.edu.tr
authors.forename: Ates
authors.initials: A
authors.lastname: Duman
authors.forename: Gamze
authors.initials: G
authors.lastname: Sarkilar
authors.forename: Mürüvvet
authors.initials: M
authors.lastname: Dayioglu
authors.forename: Mine
authors.initials: M
authors.lastname: Ozden
authors.forename: Niyazi
authors.initials: N
authors.lastname: Görmüs
mesh_terms: D000328:Adult; D000773:Anesthesia, Obstetrical / Q000009:adverse effects / Q000379:methods; D019162:Anesthetics, Combined / Q000009:adverse effects / Q000627:therapeutic use; D018686:Anesthetics, Intravenous / Q000009:adverse effects / Q000627:therapeutic use; D002585:Cesarean Section / Q000379:methods*; D004541:Eisenmenger Complex / Q000150:complications*; D005045:Etomidate / Q000009:adverse effects / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007649:Ketamine / Q000009:adverse effects / Q000627:therapeutic use; D010880:Piperidines / Q000009:adverse effects / Q000627:therapeutic use*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000503:physiopathology; D011256:Pregnancy Outcome; D000077208:Remifentanil
chemical_list: D019162:Anesthetics, Combined; D018686:Anesthetics, Intravenous; D010880:Piperidines; D007649:Ketamine; D000077208:Remifentanil; D005045:Etomidate