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Anaesth Intensive Care. 2003 Oct;31(5):565-9.

Combined spinal and epidural anaesthesia for caesarean section in a parturient with severe primary pulmonary hypertension.

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Division of Anaesthesia and Intensive Care, Prince of Wales Hospital, N.S.W.


We describe the management of a parturient with severe primary pulmonary hypertension who underwent caesarean section. A multi-disciplinary approach was used. She was admitted to the intensive care unit perioperatively for invasive monitoring and trial of inhaled nitric oxide. Anaesthesia was provided by combined spinal-epidural block. We discuss controversies about the management of obstetric patients with this rare and serious condition.

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