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[Urgent cesarean section under combined spinal and epidural anesthesia in a patient with aortitis syndrome].
Masui. 1998 May; 47(5):566-9.M

Abstract

We report the anesthetic management of a patient with aortitis syndrome using combined spinal and epidural anesthesia. A 28-year-old gravida with aortitis syndrome accompanied by faints was scheduled for an urgent cesarean section. Combined spinal and epidural anesthesia was thought to be better for this case in order to monitor the cerebral circulation by her consciousness level and to reduce the hemodynamic change during surgery as compared to spinal or epidural anesthesia alone. After inserting an epidural catheter at the Th 12/L 1 interspace, spinal anesthesia was performed with 1.5 ml of 0.3% dibucaine at the L 4/L 5 interspace. The level of analgesia was under L 1 with the pinprick method 10 min after the spinal anesthesia. Next, 5 ml of 1.5% mepivacaine was injected through the epidural catheter. The level of analgesia reached to Th 6 without major hemodynamic changes. A healthy 2740 g infant was delivered and she had an uneventful recovery. We conclude that combined spinal and epidural anesthesia is useful in a patient with aortitis syndrome undergoing an urgent cesarean section in order to monitor the cerebral circulation by the consciousness level and to reduce the hemodynamic change.

Authors+Show Affiliations

First Department of Anesthesiology, Dokkyo University School of Medicine, Tochigi.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

9621666

Citation

Yamaguchi, S, et al. "[Urgent Cesarean Section Under Combined Spinal and Epidural Anesthesia in a Patient With Aortitis Syndrome]." Masui. the Japanese Journal of Anesthesiology, vol. 47, no. 5, 1998, pp. 566-9.
Yamaguchi S, Nagao M, Mishio M, et al. [Urgent cesarean section under combined spinal and epidural anesthesia in a patient with aortitis syndrome]. Masui. 1998;47(5):566-9.
Yamaguchi, S., Nagao, M., Mishio, M., Matsumoto, T., Okuda, Y., & Kitajima, T. (1998). [Urgent cesarean section under combined spinal and epidural anesthesia in a patient with aortitis syndrome]. Masui. the Japanese Journal of Anesthesiology, 47(5), 566-9.
Yamaguchi S, et al. [Urgent Cesarean Section Under Combined Spinal and Epidural Anesthesia in a Patient With Aortitis Syndrome]. Masui. 1998;47(5):566-9. PubMed PMID: 9621666.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Urgent cesarean section under combined spinal and epidural anesthesia in a patient with aortitis syndrome]. AU - Yamaguchi,S, AU - Nagao,M, AU - Mishio,M, AU - Matsumoto,T, AU - Okuda,Y, AU - Kitajima,T, PY - 1998/6/11/pubmed PY - 1998/6/11/medline PY - 1998/6/11/entrez SP - 566 EP - 9 JF - Masui. The Japanese journal of anesthesiology JO - Masui VL - 47 IS - 5 N2 - We report the anesthetic management of a patient with aortitis syndrome using combined spinal and epidural anesthesia. A 28-year-old gravida with aortitis syndrome accompanied by faints was scheduled for an urgent cesarean section. Combined spinal and epidural anesthesia was thought to be better for this case in order to monitor the cerebral circulation by her consciousness level and to reduce the hemodynamic change during surgery as compared to spinal or epidural anesthesia alone. After inserting an epidural catheter at the Th 12/L 1 interspace, spinal anesthesia was performed with 1.5 ml of 0.3% dibucaine at the L 4/L 5 interspace. The level of analgesia was under L 1 with the pinprick method 10 min after the spinal anesthesia. Next, 5 ml of 1.5% mepivacaine was injected through the epidural catheter. The level of analgesia reached to Th 6 without major hemodynamic changes. A healthy 2740 g infant was delivered and she had an uneventful recovery. We conclude that combined spinal and epidural anesthesia is useful in a patient with aortitis syndrome undergoing an urgent cesarean section in order to monitor the cerebral circulation by the consciousness level and to reduce the hemodynamic change. SN - 0021-4892 UR - https://www.unboundmedicine.com/medline/citation/9621666/[Urgent_cesarean_section_under_combined_spinal_and_epidural_anesthesia_in_a_patient_with_aortitis_syndrome]_ L2 - https://medlineplus.gov/cesareansection.html DB - PRIME DP - Unbound Medicine ER -