High dose alfentanil as sole anaesthetic induction agent for caesarean section in a patient with severe ischaemic heart disease
by
Duggan M, Carey M.
Department of Anaesthesia,
Coombe Women's Hospital,
Dublin, Ireland.
Int J Obstet Anesth. 2000 Jul;9(3):186-8

ABSTRACT

A 43-year-old woman presented at 34 weeks' gestation with pre-eclampsia and intra-uterine growth restriction. She had a past medical history of myocardial infarction and had angina on moderate effort. She also had non-insulin dependent diabetes mellitus, chronic obstructive airways disease and hypercholesterolaemia. The onset of unstable angina, cardiac failure and a deteriorating fetal condition necessitated urgent delivery by caesarean section. General anaesthesia was chosen. High dose alfentanil was used as sole induction agent resulting in minimal haemodynamic change and a successful maternal and fetal outcome.

People
Opioids
Anaesthesia
Remifentanil
Alfentanil (Alfenta)
Remifentanil (Ultiva)
Obstetric anaesthesia
Molecular mechanisms
Chloroform anaesthesia
Consciousness, anaesthesia and anaesthetics

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