Intrathecal fentanyl/meperidine combined with low-dose epidural bupivacaine for Cesarean section in a patient with advanced Krukenberg tumors.

摘要: This case report demonstrates the anesthetic management of a 41-year-old primiparous parturient with massive ascites due to advanced Krukenberg tumors, undergoing Cesarean section. We chose combined intrathecal-epidural technique, using intrathecal hypobaric fentanyl and hyperbaric meperidine, low dose epidural bupivacaine in order avoid hemodynamic instability this critically ill patient. Surgery was carried out without difficulty under adequate regional anesthesia. The blood pressure maintained doses phenylephrine dopamine. Opioid-related complications such as nausea-vomiting, pruritus, drowsiness, respiratory depression were not observed Therefore, opioids local anesthetics for section is suitable patients malignant abdominal tumor, complicated by ascites.