Anesthetic Implications of Emergent Cesarean Section in a Parturient with Marfan Syndrome Complicated by Ascending Aortic Aneurysm and Heart Failure
- Authors
- Kim, Young Sung; Lim, Byung Gun; Lee, So Hyun; Park, Sang Hoon; Jung, Woo Jun; Kong, Myoung hoon; Lee, Il Ok
- Issue Date
- Jul-2014
- Publisher
- AUSTRALIAN INTERNATIONAL ACADEMIC CENTRE, AUSTRALIA
- Keywords
- Ascending Aortic Aneurysm; Cesarean section; Laryngeal mask airway; Marfan syndrome; Remifentanil
- Citation
- ADVANCES IN BIOSCIENCE & CLINICAL MEDICINE, v.2, no.2, pp 85 - 90
- Pages
- 6
- Journal Title
- ADVANCES IN BIOSCIENCE & CLINICAL MEDICINE
- Volume
- 2
- Number
- 2
- Start Page
- 85
- End Page
- 90
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/9134
- ISSN
- 2203-1413
- Abstract
- Cardiovascular comorbidities to the Marfan syndrome may induce hemodynamic instability especially in the parturients during labor or delivery. For anesthesiologists, it is challenging to maintain hemodynamic stability during Cesarean section in those patients with Marfan syndrome. Remifentanil is an ultra-short-acting opioid with rapid onset and offset of action which provides cardiovascular stability during surgery. Together with remifentanil, the use of a laryngeal mask airway can reduce the risk of hypertensive response followed by tracheal intubation. We describe the successful administration of remifentanil and application of laryngeal mask airway for emergent Cesarean section performed under general anesthesia in a patient with Marfan syndrome complicated by ascending aortic aneurysm and heart failure. The use of remifentanil (loading dose of 1 μg/kg for 1 min, 2 min before induction; thereafter continuous infusion dose of 0.1 μg/kg/min) was useful to maintain hemodynamic stability of the parturient throughout the surgery without neonatal respiratory depression.
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Collections - 2. Clinical Science > Department of Anesthesiology and Pain Medicine > 1. Journal Articles
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