Topical nasopharyngeal anaesthesia with vasoconstriction in preeclampsia-eclampsia

Abstract

We report the case of a 38-year-old eclamptic patient undergoing emergency Caesarean section who required awake nasotracheal intubation because of her massively swollen and lacerated tongue. Vasoconstriction, in addition to topical anaesthesia, was required due to thrombocytopaenia. Theuseof three per cent lidocaine with 0.125 per cent phenylephrine for anaesthesia and vasoconstriction is described with successful maternal and neonatal outcome. © 1988 Canadian Anesthesiologists.