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  • Title: Low-dose sequential combined spinal-epidural: an anaesthetic technique for caesarean section in patients with significant cardiac disease.
    Author: Hamlyn EL, Douglass CA, Plaat F, Crowhurst JA, Stocks GM.
    Journal: Int J Obstet Anesth; 2005 Oct; 14(4):355-61. PubMed ID: 16139497.
    Abstract:
    In the United Kingdom, cardiac disease is the second most common cause of all maternal deaths. The best anaesthetic technique for caesarean section in these patients has yet to be established. We describe a low-dose combined spinal-epidural technique in four high-risk obstetric patients who presented to this unit. Invasive monitoring was used in each case, and drugs with significant cardiovascular effects were avoided or used with extreme caution. Multidisciplinary team involvement, including serial echocardiography in the antenatal period, is strongly recommended.
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