1/3. Salbutamol, obstetrics and anaesthesia: a review and case discussion.Salbutamol and related beta-2 sympathomimetic drugs have been used in australia recently for the inhibition of premature labour and also to prevent uterine activity in acute foetal emergencies during labour. General anaesthesia in these situations presents the anaesthetist with a number of pharmacological difficulties, which can have profound effects on both mother and neonate. The use of beta-blockers to correct the cardiovascular and metabolic instability is discussed and recommendations are made for their use in association with anaesthesia for operative delivery. Ante-natal beta-blockade of mother may increase the morbidity and possibly the mortality of an already at risk pre-term neonate. The case report illustrates some of the hazards associated with salbutamol, obstetrics and anaesthesia.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
2/3. ritodrine-induced pulmonary oedema in labour. Successful management using epidural anaesthesia.A case is described in which unusually high doses of intravenous ritodrine were used for 6 weeks to postpone premature labour. Treatment was complicated by tachydysrhythmias and pulmonary oedema. Epidural analgesia was used successfully for pain relief during labour and Caesarean section. The pathophysiology is discussed.- - - - - - - - - - ranking = 0.57142857142857keywords = anaesthesia (Clic here for more details about this article) |
3/3. Obstetric anaesthetic management in a patient with the Fontan circulation.We describe the pregnancy and obstetric anaesthetic management of a patient with congenital tricuspid atresia who had undergone the fontan procedure in childhood. The unique arrangement of the Fontan circulation combined with the haemodynamic alterations during pregnancy presents special anaesthetic considerations for both analgesia during labour and anaesthesia for Caesarean section.- - - - - - - - - - ranking = 0.14285714285714keywords = anaesthesia (Clic here for more details about this article) |