Anesthetic management of vaginal tear repair during early puerperium in a patient with acute intermittent porphyria

Abstract

A 26 year old female with history of acute intermittent porphyria (AIP) was scheduled for vaginal tear repair after delivering her first baby. Raised blood pressure during her antenatal period was safely treated with α-methyl dopa. Her preoperative examination revealed no symptoms suggestive of acute exacerbation of AIP. Anesthesia was induced with fentanyl and propofol, and a proseal laryngeal mask airway (LMA) was inserted and maintained with intermittent propofol and inhalation of isoflurane in nitrous oxide and oxygen. Her intraoperative and postoperative period remained uneventful.

Keywords

• Acute intermittent porphyria
• Hypertension
• α-Methyl dopa
• Propofol