Anesthetic management of vaginal tear repair during early puerperium in a patient with acute intermittent porphyria

A 26 year old female with history of acute intermittent porphyria (AIP) was scheduled for vaginal tear repair after delivering her first baby. Raised blood pressure during her antenatal period was safely treated with α-methyl dopa. Her preoperative examination revealed no symptoms suggestive of acut...

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Bibliographic Details
Main Authors: Mahmood Ghazanwy, Kanta Meena, Stalin Vinayagam
Format: Article
Language:English
Published: Taylor & Francis Group 2014-04-01
Series:Egyptian Journal of Anaesthesia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1110184914000026
Description
Summary:A 26 year old female with history of acute intermittent porphyria (AIP) was scheduled for vaginal tear repair after delivering her first baby. Raised blood pressure during her antenatal period was safely treated with α-methyl dopa. Her preoperative examination revealed no symptoms suggestive of acute exacerbation of AIP. Anesthesia was induced with fentanyl and propofol, and a proseal laryngeal mask airway (LMA) was inserted and maintained with intermittent propofol and inhalation of isoflurane in nitrous oxide and oxygen. Her intraoperative and postoperative period remained uneventful.
ISSN:1110-1849