A challenging case of a successful outcome of cesarean section with combined spinal–epidural technique in a parturient with Eisenmenger syndrome | ||||
Ain-Shams Journal of Anesthesiology | ||||
Volume 13, Issue 1, January 2021 PDF (518.52 K) | ||||
DOI: 10.1186/s42077-021-00127-9 | ||||
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Authors | ||||
Ravindra Kr. Gehlot ; Devendra Verma; L. K. Raiger | ||||
Abstract | ||||
Background Eisenmenger syndrome belongs to the 0.4–4.1% (incidence) rarely encountered congenital cardiac lesions in pregnancy. Management of a pregnant patient with Eisenmenger syndrome is a challenging task for the anesthesiologist. Case presentation Here, we report the successful outcome with the use of low-dose sequential combined spinal–epidural (CSE) anesthesia in a patient with Eisenmenger syndrome posted for cesarean section. Low-dose sequential CSE anesthesia was adequate for the performance of cesarean section with minimal hemodynamic changes and good fetal outcome. Conclusion Low-dose sequential CSE can be a safe alternative to achieve good anesthesia with hemodynamic stability in such case. | ||||
Keywords | ||||
cesarean section; Combined spinal–epidural anesthesia; Eisenmenger syndrome; Pregnancy | ||||
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