Anaesthesia and intensive care
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Anaesth Intensive Care · Oct 2003
Case ReportsThe Bispectral Index and induced hypothermia--electrocerebral silence at an unusually high temperature.
The optimal temperature for deep hypothermic circulatory arrest remains undefined. We present a case in which Bispectral Index monitoring during hypothermic cardiopulmonary bypass showed electrocerebral silence at a higher temperature than previously reported. Bispectral Index monitoring may be a potentially useful tool in surgery employing deep hypothermic circulatory arrest.
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Anaesth Intensive Care · Oct 2003
Case ReportsAnaesthetic management of the parturient with protein S deficiency and lumboperitoneal shunt.
Protein S, a vitamin K-dependent plasma protein, is a cofactor for protein C, an essential component of the regulatory system of coagulation. We describe the anesthetic management of a parturient with protein S deficiency and an indwelling lumboperitoneal shunt, which was placed following transverse and sagittal sinus thrombosis. She was treated with aspirin and enoxaparin during pregnancy and underwent caesarean section under general anaesthesia without complication.
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Anaesth Intensive Care · Oct 2003
Case ReportsCombined spinal and epidural anaesthesia for caesarean section in a parturient with severe primary pulmonary hypertension.
We describe the management of a parturient with severe primary pulmonary hypertension who underwent caesarean section. A multi-disciplinary approach was used. ⋯ Anaesthesia was provided by combined spinal-epidural block. We discuss controversies about the management of obstetric patients with this rare and serious condition.