Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2014.12.002
Brazilian Journal of Anesthesiology
Clinical Informations

Postpartum hemorrhage and pregnancy induced hypertension during emergency lower segment cesarean section: dexmedetomidine to our rescue

Hemorragia pós-parto e hipertensão induzida pela gravidez durante cesariana de emergência em segmento uterino inferior: dexmedetomidina para nosso resgate

Uma Hariharan

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Abstract

Abstract Dexmedetomidine is a highly selective α-2 agonist which has recently revolutionized our anesthesia and intensive care practice. An obstetric patient presented for emergency cesarean delivery under general anesthesia, with pre-eclampsia and postpartum hemorrhage. In carefully selected cases with refractory hypertension and postpartum hemorrhage, dexmedetomidine can be used for improving overall patient outcome. It was beneficial in controlling both the blood pressure and uterine bleeding during cesarean section in our patient.

Keywords

Dexmedetomidine, Obstetric anesthesia, Pregnancy-induced hypertension, Post-partum hemorrhage, Emergency cesarean section

Resumo

Resumo Dexmedetomidina é um α2-agonista altamente seletivo que recentemente revolucionou a nossa prática de anestesia e tratamento intensivo. Uma paciente obstétrica foi admitida para cesariana de emergência sob anestesia geral, com pré-eclâmpsia e hemorragia pós-parto. Em casos cuidadosamente selecionados com hipertensão refratária e hemorragia pós-parto, dexmedetomidina pode ser usada para melhorar o resultado geral da paciente. O fármaco foi benéfico no controle tanto da pressão arterial quanto do sangramento uterino durante cesariana em nossa paciente.

Palavras-chave

Dexmedetomidina, Anestesia obstétrica, Hipertensão induzida pela gravidez, Hemorragia pós-parto, Cesariana de emergência

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