High-Dose Desflurane for Tocolysis During Intrapartum Myelomeningocele Repair in a Patient With Post-Adriamycin Cardiomyopathy

Jonathan Ho, Jeffrey M. Feldman

Research output: Contribution to journalArticle

Abstract

High-dose desflurane is an uncommon need during general anesthesia. At our institution, open fetal surgery cases are managed with high desflurane concentrations to ensure uterine relaxation. We present a case of a 32-year-old parturient with a history of mild cardiomyopathy undergoing open fetal myelomeningocele repair. Phenylephrine and dopamine infusions helped maintain hemodynamic stability at 18% desflurane, while cardiac function was monitored with transthoracic echocardiography. This case is notable for the unknown risk of using high-dose desflurane with a preexisting cardiomyopathy and raises the question of the acceptable maternal risk in the setting of fetal surgery.

Original languageEnglish (US)
Pages (from-to)49-52
Number of pages4
JournalA & A case reports
Volume7
Issue number2
DOIs
StatePublished - Jul 15 2016
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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