Department of Anesthesiology

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Caesarean section in a diabetic patient with a recent myocardial infarction.

TitleCaesarean section in a diabetic patient with a recent myocardial infarction.
Publication TypeJournal Article
Year of Publication1994
AuthorsSpencer J, Gadalla F, Wagner W, Blake J
JournalCan J Anaesth
Volume41
Issue6
Pagination516-8
Date Published1994 Jun
ISSN0832-610X
KeywordsAdult, Anesthesia, General, Anesthesia, Obstetrical, Asthma, Cesarean Section, Diabetes Mellitus, Type 1, Female, Humans, Infant, Newborn, Leukemia, Myelogenous, Chronic, BCR-ABL Positive, Male, Myocardial Infarction, Pre-Eclampsia, Pregnancy, Pregnancy Complications, Pregnancy Complications, Cardiovascular, Pregnancy Complications, Neoplastic, Pregnancy in Diabetics
Abstract

This is a report of a 38-yr-old parturient with multiple medical problems including diabetes mellitus, bronchial asthma, chronic myelogenous leukaemia, pre-eclampsia and a recent myocardial infarction. After medical management in the coronary care unit, it was decided to proceed with a Caesarean section. The choice of anaesthetic was made by the patient and had to be modified in accordance with her medical condition. Cardiovascular monitoring included PA catheterisation and transoesophageal echocardiography. A general anaesthetic was performed using fentanyl, thiopentone and succinylcholine. The outcome was satisfactory for both parturient and baby.

DOI10.1007/BF03011547
Alternate JournalCan J Anaesth
PubMed ID8069993