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  • Title: [Propofol anesthesia for an emergent caesarean section in a patient with asthma].
    Author: Kakinohana M, Fujimine T, Kakinohana O.
    Journal: Masui; 1999 Aug; 48(8):900-2. PubMed ID: 10481429.
    Abstract:
    We report a case of emergency caesarean section due to bleeding from placenta praevia under general anesthesia in a patient with asthma. General anesthesia was induced by propofol 150 mg and suxamethonium 80 mg, and operation was started immediately after tracheal intubation under cricoid cartilage pressure. While induction-delivery time took about 270 seconds, Apgar scores at 1 and 5 minutes are 8 and 9 points, respectively. Plasma concentration of propofol in umbilical vein was 0.73 microgram.ml-1 by HPLC. Although anesthetic maintenance was carried out by oxygen-nitrous oxide-isoflurane after delivery, no asthmatic attack was seen throughout the operation. Anesthetic induction by propofol for emergency caesarean section might be safe and useful in a patient with asthma with little effects to neonates.
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