Pre-Eclampsia

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Remifentanil Case reports – Hemodynamic stability with CV disease – Facilitation of epid catheter placement – C section in preeclampsia and thrombocytopenia – PCA for labour – Acoustic neuroma & C section –TCI ‘ the paediatricians commented on the lack of respiratory depression in view of the opioid given to the mother ‘ Dr. Marc Coppens Placental transfer Anesthesiology, 1998 • Elective C section with epidural anesthesia and concomitant IV infusion of remifentanil ( 0,1 µg/kg/min ) - 16 patients • Increase, decrease or bolus according clinical judgment • Blood samples: ABG, remifentanil, remifentanil acid – maternal arterial – umbilical venous – umbilical arterial Dr. Marc Coppens 16
Placental transfer Maternal • blood pressure • heart rate • O 2 Sat • Pain score • Sedation score Neonatal • Apgar • Nacs Dr. Marc Coppens Placental transfer • UV:MA ratio suggests a significant placental transfer • UA:UV ratio suggests rapid metabolism and rapid redistribution Dr. Marc Coppens 17
Page 1 and 2: Anaesthesia for the pathologic preg
Page 3 and 4: Thrombocytopenia Endothelium Thromb
Page 5 and 6: Pre-eclampsia: therapy • Vasodila
Page 7 and 8: Magnesium • Vasodilator activity
Page 9 and 10: Anti-hypertensive medication Vasodi
Page 11 and 12: Anti-hypertensive medications • N
Page 13 and 14: Systemic analgesia Pethidine: prolo
Page 15: Sectio preterm Difference in local
Page 19 and 20: Placental transfer Dr. Marc Coppens
Page 21 and 22: Respiratory: • ↑ VO 2 ; ↑ Min
Page 23 and 24: Anaesthesia techniques: MAINTAIN NO
Page 25 and 26: Inhalation • Chloroform: hepatic
Page 27 and 28: Fetal monitoring Fetal heart rate v
Page 29 and 30: Dr. Marc Coppens SUMMARY • Pre-te
Page 31 and 32: Dr. Marc Coppens Anticoagulation
Page 33 and 34: C-section bupi sal bupi sal c sal T
Page 35 and 36: Postpartum hemorrhage Normal blood
Page 37 and 38: Synto: bolus vs infusion Dr. Marc C
Page 39 and 40: Misoprostol Dr. Marc Coppens Postpa
Page 41 and 42: Placenta accreta • Risk factors:
Page 43 and 44: PPROM : complications • Fetal com
Page 45 and 46: Venous thromboembolism • Virchow
Page 47: Suggested reading • Options for s

Pre-Eclampsia

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