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Anesth Analg 2006;102:910-911
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ane.0000198335.89760.ed

OBSTETRIC ANESTHESIA

Ventilatory Support Using Bilevel Positive Airway Pressure During Neuraxial Blockade in a Patient with Severe Respiratory Compromise

James Warren, MD, and Shiv K. Sharma, MD, FRCA

Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas

Address correspondence and reprint requests to Shiv Sharma, MD, FRCA, Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, Texas 75390-9068. Address e-mail to shiv.sharma{at}utsouthwestern.edu.

In pregnant patients with myasthenia gravis and respiratory compromise, neuraxial anesthesia for lower abdominal surgery can risk further respiratory depression. We report the use of epidural anesthesia for dilation and curettage and tubal ligation in a 26-yr-old woman with a 12-wk intrauterine pregnancy with severe myasthenia gravis and respiratory insufficiency in whom ventilatory support during anesthesia was provided successfully using bilevel positive airway pressure ventilation. This report demonstrates how the use of bilevel positive airway pressure for ventilatory support may improve the safety of regional anesthesia in patients with severe respiratory compromise.




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P. P. Bapat
Ventilatory Support During Neuraxial Blockade Using Bilevel Positive Airway Pressure in a Patient with Severe Respiratory Compromise
Anesth. Analg., December 1, 2006; 103(6): 1603 - 1604.
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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2006 by the International Anesthesia Research Society.