CONTINUE EPIDURAL ANESTHESIA FOR CAESAREAN SECTION IN A PATIENT WITH TAKAYASU'S DISEASE
Keywords:
anaesthesia epidural , Takayasu's arteritis, pregnancyAbstract
The best anesthetic technique for patients with Takayasu arteritis is controversia/. Regional anesthesia has been questioned due to the risk of arterial hypotension by severa/ authors. General anesthesia now is also being questioned for hindering the evaluation of brain function, which can be a/tered in these patients, in addition to its repercussions on blood pressure. A case of Takayasu arteritis with 2 years duration was reported in a 31 year-old patient. The patient at 35 weeks of gestation received prednisone and was submitted to caesarean section under continuous epidural anesthesia. During surgery there were no alterations in arterial blood pressure, respiration ar consciousness. Metopro/o/ (3mg endovenous) was necessary to contrai heart rate. The anesthetic technique used enab/ed titration of local anesthetic doses to obtain an adequate leve/ of anesthesia required to perform caesarean section with minimum risk of arterial hypotension.
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