oa Southern African Journal of Anaesthesia and Analgesia - Dexmedetomidine supplementing scalp block for cerebral abscess drainage in a patient with severe pulmonary hypertension - letter to the editor

Volume 25 Number 2
  • ISSN : 2220-1181
  • E-ISSN: 2220-1173



Dear Editor,

A forty-two-year-old, 67 kg female, with known pulmonary hypertension (PH), secondary to chronic thromboembolic disease, presented to the emergency department (ED) with lethargy, confusion, increasing headache and temperature. The patient was unwell at home for six days. In ED on examination the patient looked unwell, with Glasgow Coma Scale (GCS) 14/15, blood pressure (BP) 80/40 mmHg, temperature 39.1 oC, breathing 18 breaths minute-1 and had a normal chest examination on auscultation. Past medical history was complicated; spina bifida at birth, ventriculo-peritoneal shunt placed in early days, revised at the age of nine, osteomyelitis, miscarriages and IVC filter placement and pulmonary endarterectomy five years previously for recurrent DVT and PE. The patient was allergic to latex

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