Scleroderma and pulmonary hypertension complicating two pregnancies: use of neuraxial anesthesia, general anesthesia, epoprostenol and a multidisciplinary approach for cesarean delivery

Daria Moaveni, Jennifer Cohn, J. Brodt, K. Hoctor, Jayanthie Ranasinghe

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Literature regarding the anesthetic care of patients with scleroderma during labor and delivery is limited to remote case reports. No recent publications provide information on the anesthetic management of patients with coexisting pulmonary hypertension. This report describes the anesthetic and multidisciplinary management of two pregnant patients with concomitant scleroderma and pulmonary hypertension undergoing cesarean delivery; one with neuraxial anesthesia and one with general anesthesia. Considerations for neuraxial and general anesthesia in patients with concurrent scleroderma and pulmonary hypertension are discussed.

Original languageEnglish (US)
Article number2381
Pages (from-to)375-387
Number of pages13
JournalInternational Journal of Obstetric Anesthesia
Volume24
Issue number4
DOIs
StatePublished - Nov 1 2015

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Keywords

  • Anesthesia
  • Cesarean delivery
  • CREST syndrome
  • Epoprostenol
  • Obstetric
  • Pulmonary hypertension
  • Scleroderma

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Obstetrics and Gynecology

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