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  • Title: Use of remifentanil in a patient with Eisenmenger syndrome requiring urgent cesarean section.
    Author: Duman A, Sarkilar G, Dayioglu M, Ozden M, Görmüs N.
    Journal: Middle East J Anaesthesiol; 2010 Feb; 20(4):577-80. PubMed ID: 20394258.
    Abstract:
    We describe a case of 41-yr.-old multigravida at 35 weeks gestation, with a diagnosis of Eisenmenger syndrome, requiring urgent Cesarean section. The parturient had signs and symptoms of respiratory distress due to high pulmonary artery pressure, and the pregnancy was complicated by preeclampsia. A general anesthetic consisting of ketamine and etomidate and an intravenous infusion of remifentanil were used to provide stable anesthesia and analgesia for a successful delivery. The baby was delivered with high Apgar scores. The potential benefits and safety of the use of remifentanil in parturients with high pulmonary artery pressures are discussed.
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