Anaesthesia for a patient with Co-arctation of aorta undergoing cesarean section
Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 3, Issue 2
Abstract
Pregnancy and its associated challenges in cardiovascular physiology present a unique challenge in a woman with an underlying heart disease. In this case a 23 year old primi-granida, 38 weeks of gestational age, with coarctation of aorta was posted for elective caesarean section. 2D-Echo showed EF=62%, concentric LVH, bicuspid aortic valve, coarctation of aorta distal to left, mild AS, mild AR. During the procedure, intraoperatively hemodynamics were monitored and B.P remained stable throughout (111/70 to 130/82 mm Hg). At the end of surgery the patient reversed and extubated successfully. New-born APGAR SCORE was of 8 and 10 at 1 and 5 min respectively. Coarctation of aorta in a pregnant patient is a unique challenge to the obstreticians and anaesthesiologists and requires a thorough understanding of the impact of pregnancy on hemodynamic response to coarctation of aorta. Purpose of this paper is to provide an overview of the preoperative and intraoperative implications of CHD for the anaesthesiologist involved in the care of adults with CHD undergoing non cardiac surgery.
Authors and Affiliations
Ritika Sharma, Sanhita Jiten Kulkarni, Nagesh Jumbure
Keywords
Related Articles
- EP ID EP260989
- DOI -
- Views 203
- Downloads 0
Intrathecal dexmedetomedine and magnesium sulphate as an adjuvants to hyperbaric bupivacaine in pregnancy induced hypertensive patients: A clinical comparative study
Background and Aims: Providing a safe anaesthesia and analgesia with a stable hemodynamic and with no neonatal adverse effects to a preeclamptic caesarean patients is a challenging task. Various adjuvants have been tried...
Comparative study of haemodynamic response of propofol with ketamine versus thiopental sodium as sole anaesthetic agent in minor surgical procedures
Background: Day care surgery and anesthesia is a upcoming specialty and need of hour in today's era. Most of the minor surgery are done in day care, for whichearly recovery from anesthesia and surgeryis a primary goal of...
A study of effectiveness of Intravenous Lidocaine and Gabapentin and their combination on postoperative analgesia for thyroid surgeries at tertiary health care center
Background: An ultimate goal of surgical treatment is approaching better recovery for a high quality of life without complications and sequelaes. More than 80% of surgical patients experience postoperative pain. Aims and...
Study of intravenously administered dexmedetomidine on isoflurane requirement and perioperative haemodynamic stability in elective surgery
Background and Aims: In this study we observe the effect of dexmedetomidine as an adjuvant to general anesthesia on cardiovascular response to intubation and extubation, hemodynamic stability, requirement of Isoflurane c...
Comparison of effect of intranasal midazolam and dexmedetomidine as premedication on haemodynamic stability among paediatric patients
Background: Fear of unpleasant and painful procedures, separation from parents and an unwillingness to breathe through an anaesthesia face mask may produce stormy anaesthetic induction in unpremedicated patients. Because...