Combined spinal-epidural anesthesia for cesarean delivery in a patient with cor triloculare biventriculare

Han, Yuan; Zhang, Zhenfeng; Sun, Qingchun; Ding, Ke; Liang, Han; Dong, Mengmeng; Xu, Yifan; Lei, Ge

doi:10.1186/s12871-017-0411-6

Cited by 4 publications

(2 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A number of case reports have demonstrated acceptable cardiovascular stability with low dose CSE in pregnancies with higher cardiac risk in the last decade even in cases of cyanotic tetralogy of Fallot and Eisenmenger syndrome (13)(14)(15)(16) . Han et al (17) reported a case in which CSE was safely administered to a term mother suffering from congenital heart disease (cor triloculare biventriculare) and fetal distress. A baby boy was delivered without any complication to the mother or fetus.…”

Section: Discussionmentioning

confidence: 99%

Low Dose Combined Spinal-Epidural Anesthesia: An Anesthesia Technique for Cesarean Section in a Patient Suffering from Congenitally Corrected Transposition of Great Arteries and Severe Pulmonary Stenosis

Jain¹,

Kumar²,

Singh³

et al. 2021

jarss

View full text Add to dashboard Cite

A primigravida, aged 22 years, at 39th gestational week was hospitalized with dyspnea since onset of labor. On systemic evaluation and echocardiography, she was diagnosed to have congenitally corrected transposition of the great arteries (CCTGA) along with severe pulmonic stenosis and bidirectional ventricular and atrial septal defects. A multidisciplinary team provided initial symptomatic management, stratified the risk and planned for a cesarean section. A low-dose combined sequential spinal-epidural anesthesia with invasive monitoring was used which provided excellent surgical condition with stable intraoperative and postoperative hemodynamics.

show abstract

Section: Discussionmentioning

confidence: 99%

Low Dose Combined Spinal-Epidural Anesthesia: An Anesthesia Technique for Cesarean Section in a Patient Suffering from Congenitally Corrected Transposition of Great Arteries and Severe Pulmonary Stenosis

Jain¹,

Kumar²,

Singh³

et al. 2021

jarss

View full text Add to dashboard Cite

show abstract

“…A sudden decrease in preload and afterload due to spinal single shot is a condition that aggravates the patient's condition, so in some literature this technique is contraindicated to use in patient with heart disease. 9 Administration of fluids and drugs as prophylaxis to prevent hypotension or bradycardia due to regional anesthesia can be a new problem for patients with low cardiovascular reserves.…”

Section: Discussionmentioning

confidence: 99%

Low dose hyperbaric bupivacaine 5 mg combined with 50 mcg fentanyl for cesarean section in maternal heart disease

Isngadi

Hartono

Husodo

et al. 2019

APIC

View full text Add to dashboard Cite

Background & Aims: Most of the women with cardiovascular diseases suffer from worsening of their clinical condition during pregnancy. It is caused by cardiovascular physiological changes during pregnancy and increased demand of oxygen-metabolic system. Spinal anesthesia is the most commonly used technique in cesarean section (CS) patients, but there are concerns about sudden hemodynamic decrease. We aimed to investigate the use of low dose hyperbaric bupivacaine 5 mg combined with 50 μg fentanyl for caesarean section in patient with heart disease.Methodology: This study is a retrospective study in 33 patients with maternal heart disease undergoing CS under low dose spinal anesthesia in Saiful Anwar Hospital Malang Indonesia from September 2017 until September 2018. The spinal regimen was administered with 5 mg bupivacaine heavy 0.5% combined with 50 μg fentanyl. We evaluated the hemodynamic preoperative, post injection of spinal anesthetics, postdelivery, and at the end of surgery. We also evaluated Bromage score, Apgar score of the baby, and satisfaction level by the obstetrician.Results: Combination of low dose spinal and opioid for the CS delivery show no significant hypotension effects. Hemodynamic stabilization was achieved. Furthermore, target blocked was reached well in all cases, no significant changes in Apgar score of the baby, and obstetrician satisfied with motor relaxation.Conclusion: Low dose spinal anesthesia using 5 mg of bupivacaine heavy 0.5% and adjuvant opioid fentanyl 50 μg can be successfully used for the performance of CS delivery satisfactory block, good fetal outcome, and impressive cardiovascular stability.Citation: Husodo DP, Isngadi I, Hartono R, Prasedya ES. Low dose hyperbaric bupivacaine 5 mg combined with 50 mcg fentanyl for cesarean section in maternal heart disease. Anaesth pain & intensive care 2019;23(3):274-278

show abstract

Bupivacaine

2017

Reactions Weekly

View full text Add to dashboard Cite

Combined spinal-epidural anesthesia for cesarean delivery in a patient with cor triloculare biventriculare

Cited by 4 publications

References 8 publications

Low Dose Combined Spinal-Epidural Anesthesia: An Anesthesia Technique for Cesarean Section in a Patient Suffering from Congenitally Corrected Transposition of Great Arteries and Severe Pulmonary Stenosis

Low Dose Combined Spinal-Epidural Anesthesia: An Anesthesia Technique for Cesarean Section in a Patient Suffering from Congenitally Corrected Transposition of Great Arteries and Severe Pulmonary Stenosis

Low dose hyperbaric bupivacaine 5 mg combined with 50 mcg fentanyl for cesarean section in maternal heart disease

Bupivacaine

Contact Info

Product

Resources

About