Management of a parturient with an acute exacerbation of idiopathic pulmonary haemosiderosis and posterior spinal instrumentation

T. K. Allen, R. B. George, C. Peterson-Layne, A. S. Habib

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Idiopathic pulmonary haemosiderosis (IPH) is a rare condition associated with diffuse alveolar haemorrhage and pulmonary fibrosis. We describe the anaesthetic management of a parturient with a history of posterior spinal fusion presenting with an acute exacerbation of IPH necessitating vaginal delivery at 34 weeks gestation. We used a spinal catheter for labour analgesia and bilevel positive airway pressure (BIPAP) ventilation to improve oxygenation during labour. An arterial line sited to allow frequent arterial blood gas sampling also facilitated continuous cardiac output monitoring. The use of a carefully titrated neuraxial block for analgesia, in conjunction with BIPAP, was associated with minimal haemodynamic and respiratory compromise during labour in this patient.

Original languageEnglish (US)
Pages (from-to)235-239
Number of pages5
JournalBritish Journal of Anaesthesia
Volume100
Issue number2
DOIs
StatePublished - Feb 2008

Keywords

  • Anaesthesia, obstetric
  • Analgesic techniques, subarachnoid
  • Equipment, catheters subarachnoid
  • Idiopathic pulmonary haemosiderosis
  • Ventilation, bilevel positive airway pressure

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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