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Obstetrics & Gynecology 1975;46:362-363
© 1975 by The American College of Obstetricians and Gynecologists
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SUCCESSFUL MANAGEMENT OF SEVERE AORTOCAVAL COMPRESSION IN TWIN PREGNANCY

YOUNG I. KIM, MD, PRASANTA CHANDRA, MBBS and GERTIE F. MARX, MD

From the Department of Anesthesiology and the Department of Obstetrics and Gynecology. Albert Einstein College of medicine. Bronx. New York.

Abstract

In a patient with severe aortocaval compression, simultaneous brachial and femoral blood pressure measurements demonstrated the need for a 30° left-down tilt to avoid significant obstruction of the vessels. When emergency cesarean section became aecessary, proper positioning of the patient was readily accomplished. Since tilting of a pregnant woman leads to a marked increase in her alveolar–arterial oxygen difference, administration of a high oxygen concentration in the anesthetic mixture was essential until delivery of the infants; this was achieved by the use of fluroxcne analgesia.






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Copyright © 1975 by the American College of Obstetricians and Gynecologists.