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

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

Research output: Contribution to journalArticlepeer-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 languageEnglish (US)
Pages (from-to)246-249
Number of pages4
JournalInternational Journal of Obstetric Anesthesia
Volume20
Issue number3
DOIs
StatePublished - Jul 1 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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