A CASE REPORT OF SPINAL ANAESTHESIA IN A PREGNANT FEMALE WITH PRIMARY PULMONARY HYPERTENSION

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

JAVAHER FOROUSHZADEH F.; EBADI A.; PIPELZADEH M.R.

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: Jundishapur Scientific Medical Journal Year:2006 | Volume:5 | Issue:2 (49) Page(s): 515-518

Download Full-Text

Persian Verion

View:

757

Download:

Cites:

Information Journal Paper

Title

A CASE REPORT OF SPINAL ANAESTHESIA IN A PREGNANT FEMALE WITH PRIMARY PULMONARY HYPERTENSION

Author(s)

JAVAHER FOROUSHZADEH F. | EBADI A. | PIPELZADEH M.R. | Issue Writer Certificate

Keywords

PRIMARY PULMONARY HYPERTENSIONQ3

CAESAREAN SECTION. SPINAL ANAESTHESIAQ3

Abstract

PRIMARY PULMONARY HYPERTENSION (PPH) a rare condition that is more common among pregnant females. It can have a high mortality rate during delivery and caesarean section. In PPH cardiac out put is highly dependent on venous return and pulmonary artery pressure. Pain during delivery may lead to decrease in venous return or increase pulmonary vascular resistance which can seriously decrease cardiac out put. Spinal anaesthesia is often quoted as unsuitable for such patients due to possible disadvantage of venodilation and decrease systemic vascular resistance. We present a 25-year old pregnant female who needed emergency caesarean sections at 36th week of gestation. We choose spinal anaesthesia by 50mg of 5% lidocain + 0.5 ml of hypertonic dextrose (20%) in a total volume of 1.5 ml injected at L3-L4 lumbar space in the sitting position. She delivered a newborn with apgar scores 8 and 10 at 1 and 5 minutes respectively. Before spinal anaesthesia her PH was 7.40, BE=, SaO2=90, PCO2= 60 mmHg, PaO2= 60 mmHg and HCO3 =15mEq/l which was corrected by administration of 25 mEq of HCO3. During surgery SaO2 was acceptable (92%- 98%). She was transferred to ICU and discharged in good condition on 4th post-operative day.We suggest that properly conducted spinal anaesthesia with correction of maternal acidosis and fluid therapy can be a safe anaesthesia in PPH.

Cites

No record.

References

No record.

Cite

APA: Copy

JAVAHER FOROUSHZADEH, F., EBADI, A., & PIPELZADEH, M.R.. (2006). A CASE REPORT OF SPINAL ANAESTHESIA IN A PREGNANT FEMALE WITH PRIMARY PULMONARY HYPERTENSION. JUNDISHAPUR SCIENTIFIC MEDICAL JOURNAL, 5(2 (49)), 515-518. SID. https://sid.ir/paper/12632/en

Vancouver: Copy

JAVAHER FOROUSHZADEH F., EBADI A., PIPELZADEH M.R.. A CASE REPORT OF SPINAL ANAESTHESIA IN A PREGNANT FEMALE WITH PRIMARY PULMONARY HYPERTENSION. JUNDISHAPUR SCIENTIFIC MEDICAL JOURNAL[Internet]. 2006;5(2 (49)):515-518. Available from: https://sid.ir/paper/12632/en

IEEE: Copy

F. JAVAHER FOROUSHZADEH, A. EBADI, and M.R. PIPELZADEH, “A CASE REPORT OF SPINAL ANAESTHESIA IN A PREGNANT FEMALE WITH PRIMARY PULMONARY HYPERTENSION,” JUNDISHAPUR SCIENTIFIC MEDICAL JOURNAL, vol. 5, no. 2 (49), pp. 515–518, 2006, [Online]. Available: https://sid.ir/paper/12632/en

Related Journal Papers