Title: Continuous spinal analgesia for labor pain in a parturient with aortic stenosis
Authors: Van de Velde, Marc ×
Budts, Werner
Vandermeersch, Eugene
Spitz, Bernard #
Issue Date: Jan-2003
Publisher: Churchill Livingstone
Series Title: International journal of obstetric anesthesia vol:12 pages:51-54
Abstract: Aortic stenosis in pregnancy carries a high fetal and maternal morbidity and mortality. Spinal analgesia/anesthesia is considered by many to be contraindicated in these patients. The rapid onset of sympathetic block induces hypotension, which can result in myocardial hypoperfusion and myocardial ischemia. We describe a case of moderate to severe aortic stenosis, diagnosed during pregnancy, in which pain relief during labor and delivery was managed using a continuous spinal catheter. Pure intrathecal opioid analgesia was used initially to maintain hemodynamic stability. However after two bolus administrations of sufentanil, analgesia was further maintained using ropivacaine and sufentanil. A spinal catheter was chosen to provide reliable anesthesia, which could be extended rapidly for cesarean section.
ISSN: 0959-289X
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Academic Centre for Nursing and Midwifery
Section Woman - Miscellaneous (-)
Pathophysiology of Pregnancy Section (-)
Anesthesiology and Algology
× corresponding author
# (joint) last author

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