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Lookup NU author(s): Dr Valerie Bythell, Dr Michael Bryson, Dr John Halshaw
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There are increasing numbers of combined heart-lung transplants being carried out in young people for end-stage pulmonary disease. There have-to-date been few reports of pregnancy in heart-lung transplant recipients. We report on the successful outcome of three pregnancies involving two patients following heart-lung transplantation. The importance of an interdisciplinary approach to the care of such patients throughout pregnancy is clear. The deliveries were carried out by caesarean section under regional anaesthesia and the discussion focuses on the choice of anaesthesia along with the problems these patients present to the anaesthetist. Regional anaesthesia appears to be a safe technique in these patients. However, it is important to appreciate that the response to vasoactive drugs may be unpredictable and that intravenous fluid should be administered carefully as they are at risk of fluid overload and pulmonary oedema. (C) 2000 Harcourt Publishers Ltd.
Author(s): Rigg CD, Bythell VE, Bryson MR, Halshaw J, Davidson JM
Publication type: Report
Publication status: Published
Series Title: International Journal of Obstetric Anesthesia
Year: 2000
Pages: 125-132
Source Publication Date: 01-04-2000
Institution: Churchill Livingstone
Place Published: United Kingdom
URL: http://dx.doi.org/10.1054/ijoa.1999.0363
DOI: 10.1054/ijoa.1999.0363
