Epidural Morphine Bupivacaine Combination for the Control of Autonomic Hyperreflexia during Labor
作者:
David Pauzner,
Igal Wolman,
David Niv,
Menachem P. David,
期刊:
Gynecologic and Obstetric Investigation
(Karger Available online 1994)
卷期:
Volume 37,
issue 3
页码: 215-216
ISSN:0378-7346
年代: 1994
DOI:10.1159/000292562
出版商: S. Karger AG
关键词: Autonomic hyperrefiexia;Delivery;Epidural
数据来源: Karger
摘要:
The improvement in rehabilitation of young women with spinal cord lesions, combined with the fact that libido, fertility and child bearing remain intact, enables more such patients to conceive. The obstetric team is therefore bound to meet with such patients. Among the various complications of this condition during pregnancy is an acute life-threatening syndrome called autonomic hyperrefiexia (AH), caused by an uncontrolled massive sympathetic discharge, which occurs in response to stimuli that reach the spinal cord below the lesion. Most authors agree that the best method of controlling AH during labor is by an epidural block which impends stimuli from reaching the spinal cord and thus provoking AH. Most authors could not completely abolish AH episodes using different medication epidurally. Herein we present a successful delivery using a combination of morphine bupivacaine epidurally.
点击下载:
PDF
(913KB)
返 回