Key result
Combined spinal-epidural anesthesia successfully facilitates cesarean section in severe primary pulmonary hypertension.
Why the study?
Management strategies for caesarean section in parturients with severe primary pulmonary hypertension are controversial and require multidisciplinary approaches.
Case Report (n=1)
Highlights a multi-disciplinary approach including combined spinal-epidural block and inhaled nitric oxide for managing caesarean section in a patient with severe primary pulmonary hypertension.
May support combined spinal-epidural for caesarean in severe pulmonary hypertension; hypothesis-generating and requires confirmation in larger studies.
We describe the management of a parturient with severe primary pulmonary hypertension who underwent caesarean section. A multi-disciplinary approach was used. She was admitted to the intensive care unit perioperatively for invasive monitoring and trial of inhaled nitric oxide. Anaesthesia was provided by combined spinal-epidural block. We discuss controversies about the management of obstetric patients with this rare and serious condition.
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Duggan et al. (2003) conducted a case report in Severe primary pulmonary hypertension (n=1). Combined spinal-epidural anaesthesia was evaluated. Combined spinal-epidural anaesthesia was successfully used for a caesarean section in a parturient with severe primary pulmonary hypertension.
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