Intrathecal fentanyl/meperidine combined with low-dose epidural bupivacaine for Cesarean section in a patient with advanced Krukenberg tumors

Toshiyuki Okutomi, Y. Hoshino, K. Amano, H. Okamoto, S. Hoka

研究成果: ジャーナルへの寄稿学術誌査読

6 被引用数 (Scopus)

抄録

This case report demonstrates the anesthetic management of a 41-year-old primiparous parturient with massive ascites due to advanced Krukenberg tumors, undergoing Cesarean section. We chose a combined intrathecal-epidural technique, using intrathecal hypobaric fentanyl and hyperbaric meperidine, and a low dose of epidural bupivacaine in order to avoid hemodynamic instability in this critically ill patient. Surgery was carried out without difficulty under adequate regional anesthesia. The blood pressure was maintained with low doses of phenylephrine and dopamine. Opioid-related complications such as nausea-vomiting, pruritus, drowsiness, and respiratory depression were not observed in this patient. Therefore, intrathecal opioids combined with a low dose of epidural local anesthetics for Cesarean section is suitable for critically ill patients with malignant abdominal tumors, such as a Krukenberg tumor, complicated by massive ascites.

本文言語英語
ページ(範囲)1272-1275
ページ数4
ジャーナルActa Anaesthesiologica Scandinavica
46
10
DOI
出版ステータス出版済み - 11月 2002
外部発表はい

!!!All Science Journal Classification (ASJC) codes

  • 麻酔学および疼痛医療

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