Urgent cesarean delivery and prolonged ventilatory support in a parturient with Fontan circulation and undiagnosed pseudocholinesterase deficiency

Abstract A parturient with Fontan circulation required general anesthesia for urgent cesarean delivery and subsequent prolonged postoperative ventilation for newly-diagnosed pseudocholinesterase deficiency. Anesthetic management necessitated a thorough understanding of the hemodynamic principles of...

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Bibliographic Details
Published in:International journal of obstetric anesthesia 2011-04, Vol.20 (2), p.184-188
Main Authors: Grim, K.J, Arendt, K.W, Jacob, A.K, Rose, C.H, Keegan, M.T
Format: Article
Language:English
Subjects:
Adult
Anesthesia & Perioperative Care
Butyrylcholinesterase - deficiency
Cesarean delivery
Cesarean Section
Female
Fontan Procedure
Fontan: circulation, procedure
Humans
Negative pressure mechanical ventilation
Obstetrics and Gynecology
Positive pressure mechanical ventilation
Pregnancy
Pregnancy Complications - physiopathology
Pseudocholinesterase deficiency
Respiration, Artificial
Tricuspid atresia
Tricuspid Atresia - physiopathology
Tricuspid Atresia - surgery
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Summary:Abstract A parturient with Fontan circulation required general anesthesia for urgent cesarean delivery and subsequent prolonged postoperative ventilation for newly-diagnosed pseudocholinesterase deficiency. Anesthetic management necessitated a thorough understanding of the hemodynamic principles of the Fontan circulation and physiologic adaptations during surgical delivery and recovery in the intensive care unit.
ISSN:0959-289X
1532-3374
DOI:10.1016/j.ijoa.2010.11.006