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Epidurals can aid parturients with aortic stenosis.(Obstetrics)
HOLLYWOOD, FLA. -- Maintaining hemodynamic stability is particularly important in the anesthetic management of parturients with aortic stenosis, and the use of a slowly titrated epidural or combined spinal-epidural with a reduced spinal anesthesia dose appears to provide this stability in most patients, findings from a case series suggest.
The cases, including six patients with moderate aortic stenosis and six with severe aortic stenosis, also suggest that invasive monitoring facilitates anesthetic management in some patients, and that special attention to postoperative analgesia, monitoring, and volume status can prevent hemodynamic instability and complications, Dr. Alexander Ioscovich reported in a poster at the annual meeting of the Society for Obstetric Anesthesia and Perinatology.
The 12 patients were treated at two university hospitals, and compose all ...
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Source: HighBeam Research, Epidurals can aid parturients with aortic stenosis.(Obstetrics)