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Canadian Journal of Anesthesia, Vol 35, 641-643, Copyright © 1988 by Canadian Anesthesiologists' Society

ARTICLES

Topical nasopharyngeal anaesthesia with vasoconstriction in preeclampsia-eclampsia

BK Mokriski, AM Malinow, WC Gray and WJ McGuinn
Department Anesthesiology, University of Maryland Medical School, Baltimore 21201.

We report the case of a 38-year-old eclamptic patient undergoing emergency Caesarean section who required awake nasotracheal intubation because of her massively swollen and lacerated tongue. Vasoconstriction, in addition to topical anaesthesia, was required due to thrombocytopaenia. The use of three per cent lidocaine with 0.125 per cent phenylephrine for anaesthesia and vasoconstriction is described with successful maternal and neonatal outcome.




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Copyright © 1988 by the Canadian Anesthesiologists' Society.