Topical vasoconstrictor use for nasal intubation during pregnancy complicated by cardiomyopathy and preeclampsia

K. W. Arendt; K. Khan; T. B. Curry; L. C. Tsen

doi:10.1016/j.ijoa.2010.11.010

Topical vasoconstrictor use for nasal intubation during pregnancy complicated by cardiomyopathy and preeclampsia

K. W. Arendt, K. Khan, T. B. Curry, L. C. Tsen

Anesthesiology

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Ankylosing spondylitis presents challenges for the obstetric anesthesiologist in administering neuraxial anesthesia or managing the airway. A pregnant patient with ankylosing spondylitis, cardiomyopathy and preeclampsia requiring cesarean delivery was managed with an awake nasotracheal fiberoptic intubation. The use of topical cocaine, epinephrine, phenylephrine, and oxymetazoline to produce nasal vasoconstriction is discussed. Selective alpha-2 agonists that can potentially provide nasal mucosa vasoconstriction and placental vasculature vasodilation are also discussed.

Original language	English (US)
Pages (from-to)	246-249
Number of pages	4
Journal	International Journal of Obstetric Anesthesia
Volume	20
Issue number	3
DOIs	https://doi.org/10.1016/j.ijoa.2010.11.010
State	Published - Jul 2011

Keywords

Ankylosing spondylitis
Cesarean delivery
General anesthesia
Nasal vasoconstriction
Nasotracheal intubation
Pregnancy

ASJC Scopus subject areas

Obstetrics and Gynecology
Anesthesiology and Pain Medicine

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10.1016/j.ijoa.2010.11.010

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title = "Topical vasoconstrictor use for nasal intubation during pregnancy complicated by cardiomyopathy and preeclampsia",

abstract = "Ankylosing spondylitis presents challenges for the obstetric anesthesiologist in administering neuraxial anesthesia or managing the airway. A pregnant patient with ankylosing spondylitis, cardiomyopathy and preeclampsia requiring cesarean delivery was managed with an awake nasotracheal fiberoptic intubation. The use of topical cocaine, epinephrine, phenylephrine, and oxymetazoline to produce nasal vasoconstriction is discussed. Selective alpha-2 agonists that can potentially provide nasal mucosa vasoconstriction and placental vasculature vasodilation are also discussed.",

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AU - Arendt, K. W.

AU - Khan, K.

AU - Curry, T. B.

AU - Tsen, L. C.

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AB - Ankylosing spondylitis presents challenges for the obstetric anesthesiologist in administering neuraxial anesthesia or managing the airway. A pregnant patient with ankylosing spondylitis, cardiomyopathy and preeclampsia requiring cesarean delivery was managed with an awake nasotracheal fiberoptic intubation. The use of topical cocaine, epinephrine, phenylephrine, and oxymetazoline to produce nasal vasoconstriction is discussed. Selective alpha-2 agonists that can potentially provide nasal mucosa vasoconstriction and placental vasculature vasodilation are also discussed.

KW - Ankylosing spondylitis

KW - Cesarean delivery

KW - General anesthesia

KW - Nasal vasoconstriction

KW - Nasotracheal intubation

KW - Pregnancy

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Topical vasoconstrictor use for nasal intubation during pregnancy complicated by cardiomyopathy and preeclampsia

Abstract

Keywords

ASJC Scopus subject areas

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