Abstract
We report the case of a 38-year-old eclamptic patient undergoing emergency Caesarean section who required awake nasotracheal intubation because of her massively swollen and lacerated tongue. Vasoconstriction, in addition to topical anaesthesia, was required due to thrombocytopaenia. Theuseof three per cent lidocaine with 0.125 per cent phenylephrine for anaesthesia and vasoconstriction is described with successful maternal and neonatal outcome.
Résumé
On rapporte le cas ďune patiente àgée de 38 ans atteinte ďéclampsie devant subir une césarienne ďurgence et requérant une intubation nasotrachéale éveillée à cause ďune lacération et ďun oedème massif de sa langue. Une vasoconstriction était requise à cause ďune thrombocytopénic. Ľutilisation ďune solution de lidocaïne à trois pour cent avec 0.125 pour cent de phényléphrine pour ľanésthésie et la vasoconstriction est décrite amenant une issue favorable tant maternelle que néonatale.
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Mokriski, B.K., Malinow, A.M., Gray, W.C. et al. Topical nasopharyngeal anaesthesia with vasoconstriction in preeclampsia-eclampsia. Can J Anaesth 35, 641–643 (1988). https://doi.org/10.1007/BF03020355
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DOI: https://doi.org/10.1007/BF03020355