Underestimation of mitral regurgitation under general anesthesia

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General anesthesia with remifentanil for cesarean section in a parturient with severe mitral and tricuspid regurgitation

Valvular heart lesions have deleterious effects on hemodynamics in parturients during pregnancy. Cesarean section with an opioid-based general anesthesia is used to alleviate the adverse effects. We described a case of a 28-year-old primigravida at 37 weeks’ gestation with a diagnosis of severe mitral regurgitation, tricuspid regurgitation, and pulmonary hypertension in active labor. Cesarean s...

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general anesthesia with remifentanil for cesarean section in a parturient with severe mitral and tricuspid regurgitation

valvular heart lesions have deleterious effects on hemodynamics in parturients during pregnancy. cesarean section with an opioid-based general anesthesia is used to alleviate the adverse effects. we described a case of a 28-year-old primigravida at 37 weeks’ gestation with a diagnosis of severe mitral regurgitation, tricuspid regurgitation, and pulmonary hypertension in active labor. cesarean s...

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General anesthesia with remifentanil for cesarean section in a parturient with severe mitral and tricuspid regurgitation

Mitral regurgitation is the second most common valvular heart disease in parturients with significant effects on the mother and the neonate especially after delivery. Regional anesthesia is preferred over general anesthesia for cesarean section due to decreased maternal mortality [1]. However, general anesthesia might be indicated where regional anesthesia is contraindicated or fails or when th...

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Awareness under general anesthesia.

General anesthesia aims to eliminate patients' awareness of excruciating pain during surgery. Nevertheless, rare occurrences of patient awareness continue because the problem is not yet completely preventable. One study puts the incidence of awareness at 0.18% for patients receiving muscle relaxants and at 0.10% for patients not given relaxant drugs. Awareness experiences frighten patients and ...

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Awareness under general anesthesia.

BACKGROUND Awareness while under general anesthesia, and the later recall of what happened during surgery, can be experienced by patients as horrific events that leave lasting mental trauma behind. Patients may have both auditory and tactile perception, potentially accompanied by feelings of helplessness, inability to move, pain, and panic ranging to an acute fear of death. For some patients, t...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1992

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(19)34823-8