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KMID : 1155520100050020155
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Anesthesia and Pain Medicine
2010 Volume.5 No. 2 p.155 ~ p.158
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Combined general-epidural anesthesia for cesarean section in acute fatty liver of pregnancy under monitoring bispectral index -A case report-
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Kim Seong-Hyop
Kim Jee-Young
Jeong Seung-Min
Sung Tae-Yun
Lim Jeong-Ae
Woo Nam-Sik
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Abstract
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Acute fatty liver of pregnancy is a rare but usually fatal complication of the third trimester.We report the case of a 28-year-old primigravida at 37 weeks of gestation with an acute fatty liver. Continuous fetal heart rate monitoring demonstrated frequent late fetal heart decelerations and the lack of beat-to-beat variability during the induction of vaginal delivery.We decided to perform an emergency cesarean section under a combined general-epidural anesthesia with bispectral index.No complications occurred during or after surgery except for a delayed recovery from the muscle relaxant.The patient made an uneventful recovery and discharged at eight days after cesarean section.
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KEYWORD
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Acute fatty liver of pregnancy, Bispectral index, Cesarean section, Combined general-epidural anesthesia
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