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British Journal of Anaesthesia, 2000, Vol. 85, No. 6 911-913
© 2000 The Board of Management and Trustees of the British Journal of Anaesthesia

Survivors of childhood cancers: implications for obstetric anaesthesia

H. Gorton1, R. Wilson2, A. Robinson2 and G. Lyons2

1Academic Unit of Anaesthesia, Leeds General Infirmary, Leeds LS1 3EX, UK. 2Obstetric Anaesthesia, St James’s University Hospital, Leeds LS9 7TF, UK*Corresponding author

Treatment of many childhood malignancies involves surgery, radiotherapy and chemotherapy. If the child survives, normal physical development can be impaired and abnormalities with anaesthetic implications may be present. We discuss two women with a range of problems who presented for obstetric anaesthesia, having survived childhood malignancies. Common features included anthracycline cardiotoxicity and short stature. Both patients received incremental spinal anaesthesia in order to titrate the dose of local anaesthetic required to produce an adequate block height and to minimize cardiovascular instability.

Br J Anaesth 2000; 85: 911–13


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