Obstetric use of nitroglycerin: anesthetic implications
SJA-Saudi Journal of Anaesthesia. 2013; 7 (3): 350-352
in English
| IMEMR
| ID: emr-130466
ABSTRACT
Nitroglycerin has been used in anesthetic practice for induced hypotension and managing perioperative hypertension and myocardial ischemia. Contrary to the continuous low dose infusions [5-20 mcg/min] used for the same, intravenous bolus dosages are sometimes administered at the behest of obstetricians for removal of retained placenta. Use of nitroglycerine in managing retained placenta is undertaken as a last resort when other measures fail to relax the uterine smooth muscles. Intravenous nitroglycerine relaxes smooth muscle cells by releasing nitric oxide thus causing prompt cervico-uterine relaxation. However, administration of nitroglycerine in this manner is not without risks which should be kept in mind while using it for obstetric purposes. We hereby report a case of 22-year-old female scheduled for manual removal of placenta where unpredictable and unexpected hypoxemia was observed following nitroglycerine administration
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Anesthesia, Obstetrical
/
Hypoxia
/
Obstetrics
Type of study:
Case report
Limits:
Female
/
Humans
Language:
English
Journal:
Saudi J. Anaesth.
Year:
2013
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