{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:39:44Z","timestamp":1777376384370,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[1999,10,1]],"date-time":"1999-10-01T00:00:00Z","timestamp":938736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesth Intensive Care"],"published-print":{"date-parts":[[1999,10]]},"abstract":"<jats:p>We report the use of combined spinal-epidural analgesia during labour in three parturients with moderately severe mitral stenosis. In each case, rapid analgesia was achieved using intrathecal fentanyl 25 \u03bcg without major haemodynamic changes. Maintenance analgesia was then established gradually using a dilute epidural infusion of bupivacaine 0.1% and fentanyl 0.0002%, with the avoidance of large or rapid boluses of local anaesthetic. Supplementary analgesia in the latter stages of labour was provided using slow epidural boluses of fentanyl, with or without a low concentration of bupivacaine, which was sufficient to allow controlled instrumental deliveries. We conclude that combined spinal-epidural analgesia is a useful technique for providing analgesia and maintaining haemodynamic stability in parturients with mitral stenosis.<\/jats:p>","DOI":"10.1177\/0310057x9902700516","type":"journal-article","created":{"date-parts":[[2019,1,16]],"date-time":"2019-01-16T03:57:33Z","timestamp":1547611053000},"page":"523-526","source":"Crossref","is-referenced-by-count":15,"title":["Combined Spinal-Epidural Analgesia in the Management of Labouring Parturients with Mitral Stenosis"],"prefix":"10.1177","volume":"27","author":[{"given":"W. D. Ngan","family":"Kee","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Intensive Care and Department of Obstetrics and Gynaecology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong"},{"name":"Department of Anaesthesia and Intensive Care."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care and Department of Obstetrics and Gynaecology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong"},{"name":"Department of Anaesthesia and Intensive Care."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. T. O.","family":"Chiu","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care and Department of Obstetrics and Gynaecology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong"},{"name":"Department of Anaesthesia and Intensive Care."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Lok","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care and Department of Obstetrics and Gynaecology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong"},{"name":"Department of Obstetrics and Gynaecology."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. S.","family":"Khaw","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care and Department of Obstetrics and Gynaecology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong"},{"name":"Department of Anaesthesia and Intensive Care."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1999,10,1]]},"reference":[{"key":"bibr1-0310057X9902700516","first-page":"200","volume-title":"Anesthetic and obstetric management of high-risk pregnancy.","author":"Johnson M.D.","year":"1996"},{"key":"bibr2-0310057X9902700516","first-page":"485","volume-title":"Anesthesia for Obstetrics","author":"Mangano D.T.","year":"1993"},{"key":"bibr3-0310057X9902700516","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199707000-00024"},{"key":"bibr4-0310057X9902700516","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1989.tb09142.x"},{"key":"bibr5-0310057X9902700516","doi-asserted-by":"publisher","DOI":"10.1097\/00004311-199432020-00007"},{"key":"bibr6-0310057X9902700516","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199209001-00997"},{"key":"bibr7-0310057X9902700516","doi-asserted-by":"publisher","DOI":"10.1016\/0952-8180(95)00174-3"},{"key":"bibr8-0310057X9902700516","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199010000-00004"},{"key":"bibr9-0310057X9902700516","first-page":"296","volume":"18","author":"Yoshii W.Y.","year":"1993","journal-title":"Reg Anesth"}],"container-title":["Anaesthesia and Intensive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X9902700516","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X9902700516","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:04:46Z","timestamp":1777367086000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0310057X9902700516"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,10]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1999,10]]}},"alternative-id":["10.1177\/0310057X9902700516"],"URL":"https:\/\/doi.org\/10.1177\/0310057x9902700516","relation":{},"ISSN":["0310-057X","1448-0271"],"issn-type":[{"value":"0310-057X","type":"print"},{"value":"1448-0271","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,10]]}}}