Abstract
A 29-year-old pregnant woman, G2P1 at 36 weeks estimated gestational age, had a kidney stone with left hydronephrosis and was undergoing cystoscopy and stone removal under spinal anesthesia. During surgery the fetal heart rate (FHR) and uterine contractions were being monitored externally by a labor and delivery nurse. The anesthesia provider—who did not usually take care of pregnant patients—was relieving the regular provider for lunch. The regular provider had been supporting the blood pressure as needed with phenylephrine, but the relieving provider decided to use what he thought was a small dose of vasopressin to support the blood pressure, since he was accustomed to using that medication in cardiac surgery patients (L-1).
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Archer, T.L. (2020). Vasopressin, Used as a Vasopressor During Cystoscopy, Causes Non-reassuring Fetal Status. In: Archer, T. (eds) Obstetric Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-030-26478-9_29
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DOI: https://doi.org/10.1007/978-3-030-26478-9_29
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