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2008, Medical Journal Armed Forces India
British Journal of Anaesthesia
Anaesthesia for caesarean section in the presence of severe primary pulmonary hypertension1998 •
https://ijshr.com/IJSHR_Vol.6_Issue.3_July2021/IJSHR-Abstract.048.html
Anaesthetic Management of a Case of Pregnancy with Rheumatic Heart DiseaseWe present a case report of a 28 year old pregnant female with moderate mitral stenosis who was posted for emergency caesarean section. The patient was given low dose subarachnoid block with injection bupivacaine (H) 7.5 mg and injection fentanyl 20 micrograms. Adequate intraoperative monitoring, optimum sedation, analgesia, oxygenation was done. Judicious use of intravenous fluids was considered. The patient maintained smooth intraoperative vitals. Postoperatively also the patient was monitored in the ICU and adequate analgesia was provided.
2009 •
2022 •
Introduction: The maternal mortality rate in Indonesia is still one of the highest in Southeast Asia. Hypertension in pregnancy is one of the main causes of maternal and fetal morbidity and mortality. Superimposed severe preeclampsia (sPE) is a condition of hypertension and proteinuria that appears before 20 weeks of gestation. Sectio Caesarea (SC) is an artificial delivery in which the fetus is delivered through an incision in the front wall of the abdomen and the lower uterine segment. One of the indications for immediate cesarean delivery is pulmonary edema in sPE Case Report: A 39-year-old woman with G5P4A0 33 weeks of gestation with Fetal hypoxia, sPE, Pulmo edema ec. Dilated Cardiomyopathy NYHA IV, and physical status ASA III-E was planned for CS emergency. The operation was performed using epidural anesthesia. The anesthetic used was a combination of levobupivacaine and fentanyl. Discussion: Regional anesthesia is more widely used in SC because it is fast and comfortable for operation, and the quality of analgesia is good postoperatively. Regional anesthesia is also associated with less hemodynamic fluctuations. Levobupivacaine works by blocking neuronal sodium channels that prevent depolarization and is reversible in both sensory and motor nerves. Administration of fentanyl in combination can result in prolonged sensory block without any difference in the onset of spinal anesthesia. Conclusion: Section caesarea emergency was performed using epidural anesthesia with a combination of levobupivacaine and fentanyl anesthetic drugs. The combination aims to prolong the duration of sensory block without prolonging the duration of motor block to reduce pain in the patient without interfering with his motor function.
JPMA. The Journal of the Pakistan Medical Association
Anaesthesia for caesarean section in patients with cardiac disease2006 •
This review contains material sourced from Med-Line and Pub-Med, search year 2002-2004. Material selected was pertaining to common cardiac ailments in pregnancy. Congenital cardiac problems i.e. Tetralogy of Fallot (TOF), Atrial Septal Defect (ASD), Ventricular Septal Defect (VSD), Eisenmengers syndrome, valvular heart disease, i.e. mitral stenosis, mitral regurgitation, aortic stensois and aortic regurgitation are discussed. Other cardiac conditions associated with pregnancy are pulmonary hypertension and peri-partum cardiomyopathy. Arrhythmias during pregnancy, vary from isolated premature to supra-ventricular and ventricular tachycardia, management is similar to non-pregnant patients. This review summarizes the current management of a parturient with cardiac disease requiring surgical delivery. Regional anaesthesia techniques are preferred as reflected in the current literature for patient with cardiac disease with minor alterations such as slow establishment of epidural for caes...
Current treatment options in cardiovascular medicine
Anesthetic Treatment of Cardiac Disease During Pregnancy2018 •
This review summarizes the pathophysiology, peripartum treatment, and anesthetic management of parturients with cardiac disease. Valvular disease, coronary disease, and cardiomyopathy are specifically addressed in the context of the normal physiologic changes of pregnancy. We offer recommendations for anesthetic approaches, hemodynamic goals with an emphasis on interdisciplinary planning between anesthesiologists, cardiologists, cardiothoracic surgeons, obstetricians, maternal fetal medicine specialists, and neonatologists. Vaginal delivery with neuraxial analgesia can be well tolerated by many pregnant patients with cardiac disease when coordinated by an interdisciplinary team of experts. Cardiac disease in pregnancy can present a significant challenge for the interdisciplinary care team. A detailed understanding of each patient's cardiac pathology and the physiologic changes of pregnancy are critical to ensure a safe and successful labor and delivery. Optimized medical therapy...
Journal of Clinical and Diagnostic Research
Anaesthetic Management of Parturient with Severe Mitral Stenosis Planned for Elective Caesarean Section for Safe Confinement2023 •
Journal of Anesthesia & Critical Care: Open Access
Epidural Anaesthesia a Safe Option for Caesarean Section in Parturient with Severe Pulmonary Hypertension - ACase Report2016 •
Current Medicine Research and Practice
Anaesthetic management of a parturient with severe mitral stenosis and pulmonary hypertension for caesarean section2015 •
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