Biomedical subjects
Publications and source records attributed to C M Steven.
The use of extradural analgesia to avoid straining in a primigravida with portal hypertension and secondary oesophageal varices is described, together with a discussion of the advantages and disadvantages of this approach.
A patient with the Eisenmenger syndrome presented for removal of a carotid body tumour under general anaesthesia. The presentation and management of the case are described and some of the anaesthetic problems associated with these two uncommon conditions are discussed. The case is reported because of its rarity and because some of the complications of carotid body surgery may be particularly hazardous in the presence of the Eisenmenger syndrome. The importance of monitoring, of maintaining a stable heart rate and blood volume, and the danger of paradoxical systemic air embolism are stressed.
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