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Obstetrics

Remifentanil effective anesthesia in parturients with critical aortic stenosis

Published in Women's Health Weekly, October 14th, 2004

Anesthesiologists at the John Radcliffe Hospital in England recommend general anesthesia with remifentanil for women with critical aortic stenosis undergoing cesarean delivery.

"Although heart disease is now the joint leading cause of maternal mortality in the U.K., critical aortic stenosis is rarely encountered in parturients. Cesarean section is advisable in these patients to minimize the hemodynamic stress of labor and delivery. The use of an opioid-based general anesthetic technique also helps to maintain cardiovascular stability," wrote R.M.L.E. Orme and colleagues.

"During a 2-year period, four women with critical aortic stenosis requiring...

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