Skip to main content
Journal cover image

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

Publication ,  Journal Article
Allen, TK; George, RB; Peterson-Layne, C; Habib, AS
Published in: Br J Anaesth
February 2008

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.

Duke Scholars

Published In

Br J Anaesth

DOI

EISSN

1471-6771

Publication Date

February 2008

Volume

100

Issue

2

Start / End Page

235 / 239

Location

England

Related Subject Headings

  • Spinal Fusion
  • Pregnancy Complications
  • Pregnancy
  • Lung Diseases
  • Humans
  • Hemosiderosis
  • Female
  • Anesthesiology
  • Anesthesia, Spinal
  • Anesthesia, Obstetrical
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Allen, T. K., George, R. B., Peterson-Layne, C., & Habib, A. S. (2008). Management of a parturient with an acute exacerbation of idiopathic pulmonary haemosiderosis and posterior spinal instrumentation. Br J Anaesth, 100(2), 235–239. https://doi.org/10.1093/bja/aem375
Allen, T. K., R. B. George, C. Peterson-Layne, and A. S. Habib. “Management of a parturient with an acute exacerbation of idiopathic pulmonary haemosiderosis and posterior spinal instrumentation.Br J Anaesth 100, no. 2 (February 2008): 235–39. https://doi.org/10.1093/bja/aem375.
Allen TK, George RB, Peterson-Layne C, Habib AS. Management of a parturient with an acute exacerbation of idiopathic pulmonary haemosiderosis and posterior spinal instrumentation. Br J Anaesth. 2008 Feb;100(2):235–9.
Allen, T. K., et al. “Management of a parturient with an acute exacerbation of idiopathic pulmonary haemosiderosis and posterior spinal instrumentation.Br J Anaesth, vol. 100, no. 2, Feb. 2008, pp. 235–39. Pubmed, doi:10.1093/bja/aem375.
Allen TK, George RB, Peterson-Layne C, Habib AS. Management of a parturient with an acute exacerbation of idiopathic pulmonary haemosiderosis and posterior spinal instrumentation. Br J Anaesth. 2008 Feb;100(2):235–239.
Journal cover image

Published In

Br J Anaesth

DOI

EISSN

1471-6771

Publication Date

February 2008

Volume

100

Issue

2

Start / End Page

235 / 239

Location

England

Related Subject Headings

  • Spinal Fusion
  • Pregnancy Complications
  • Pregnancy
  • Lung Diseases
  • Humans
  • Hemosiderosis
  • Female
  • Anesthesiology
  • Anesthesia, Spinal
  • Anesthesia, Obstetrical