Anaesthesia for caesarean section in a parturient with quintuplet gestation, XXXX and thrombocytopaenia.

@entity1 @entity3465 @entity1242 @entity5935 @entity4 @entity26 @entity9994 @entity1284
The case of a 32-year-old parturient with a quintuplet pregnancy is described. The pregnancy had been complicated by @entity3465 which was treated with ritodrine tocolysis. @entity5935 was administered to hasten fetal lung maturation. The @entity9994 therapy was complicated with @entity1284 and @entity4 requiring intravenous diuretic treatment. The @entity1 presented urgently for Caesarean section, with @entity1284 and worsening thrombocytopaenia. Life-threatening @entity4 was manifest in the immediate preinduction period, following insertion of a pulmonary artery catheter and surgery was delayed to improve the mother's condition with intravenous diuretic therapy. Induction was carried out with the @entity1 in the sitting position, with cricoid pressure maintained to protect the airway as the @entity1 was lowered to a wedged, supine position. Intravenous @entity1242 was used to control blood pressure. Low pressure mask-bag ventilation was utilized to maintain @entity26 saturation and the @entity1 was intubated and ventilated with positive end-expiratory pressure. Positive pressure ventilation was continued for 24 hours postoperatively. The perioperative course is reviewed and followed by a discussion of the anaesthetic considerations for multiple gestation pregnancies.
