PGE1 nebulisation during caesarean section for Eisenmenger's syndrome: a case report.
Introduction: Eisenmenger's syndrome in pregnancy can lead to death in 50% to 65% of parturients. Expensive invasive monitoring and medication have improved management and outcomes. Cheaper alternatives for the management of high-risk Patients who present with no prenatal care are still not available. Case Presentation: We describe the obstetric anaesthesia management of a 34-year-old, 34-weeks pregnant woman who presented with a recent diagnosis of severe Eisenmenger's syndrome. A combined spinal epidural anaesthesia was used together with invasive cardiac monitoring as well as PGE1 nebulisation after delivery of the baby. This helped achieve a reduction of shunt, improvement of hypoxia and reduction of pulmonary pressures. Conclusion: We found this to be a cheaper and safe alternative in the management of such Patients who present with no adequate prior management.
Journal of Medical Case Reports
(2008). PGE1 nebulisation during caesarean section for Eisenmenger's syndrome: a case report.. Journal of Medical Case Reports, 2, 149.
Available at: http://ecommons.aku.edu/pakistan_fhs_mc_anaesth/57