The unusual use of epidural anesthesia for effective treatment of transfusion related circulatory overload in a parturient

Ramon E. Abola; Joy Schabel

doi:10.1515/crpm-2017-0016

The unusual use of epidural anesthesia for effective treatment of transfusion related circulatory overload in a parturient

Ramon E. Abola
, Joy Schabel

Anesthesiology

Stony Brook University

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

Abstract

We present the use of epidural anesthesia for the management of transfusion associated circulatory overload. After a vaginal delivery, a patient with preeclampsia and postpartum hemorrhage developed respiratory failure following rapid transfusion and fluid resuscitation. Her dyspnea and clinical status markedly improved after receiving an epidural bolus of 2-chlroprocaine. This unusual application of epidural anesthesia induces similar physiological changes to standard medical therapy for pulmonary edema and volume overload.

Original language	English
Article number	20170016
Journal	Case Reports in Perinatal Medicine
Volume	6
Issue number	2
DOIs	https://doi.org/10.1515/crpm-2017-0016
State	Published - 2017

Keywords

Epidural anesthesia
pulmonary edema
transfusion related circulatory overload

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10.1515/crpm-2017-0016

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title = "The unusual use of epidural anesthesia for effective treatment of transfusion related circulatory overload in a parturient",

abstract = "We present the use of epidural anesthesia for the management of transfusion associated circulatory overload. After a vaginal delivery, a patient with preeclampsia and postpartum hemorrhage developed respiratory failure following rapid transfusion and fluid resuscitation. Her dyspnea and clinical status markedly improved after receiving an epidural bolus of 2-chlroprocaine. This unusual application of epidural anesthesia induces similar physiological changes to standard medical therapy for pulmonary edema and volume overload.",

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AB - We present the use of epidural anesthesia for the management of transfusion associated circulatory overload. After a vaginal delivery, a patient with preeclampsia and postpartum hemorrhage developed respiratory failure following rapid transfusion and fluid resuscitation. Her dyspnea and clinical status markedly improved after receiving an epidural bolus of 2-chlroprocaine. This unusual application of epidural anesthesia induces similar physiological changes to standard medical therapy for pulmonary edema and volume overload.

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KW - pulmonary edema

KW - transfusion related circulatory overload

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The unusual use of epidural anesthesia for effective treatment of transfusion related circulatory overload in a parturient

Abstract

Keywords

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