Epidural Volume Extension and Low-dose Sequential Combined Spinal-epidural Blockade: Two Ways to Reduce Spinal Dose Requirement for Cesarean Section

2008 ◽  
Vol 28 (2) ◽  
pp. 64-65
Author(s):  
A.F. McNaughton ◽  
G.M. Stocks
Keyword(s):  
Cesarean Section ◽  
Low Dose ◽  
Dose Requirement ◽  
Epidural Blockade ◽  
Combined Spinal Epidural ◽  
Spinal Epidural

scholarly journals A challenging case of a successful outcome of cesarean section with combined spinal–epidural technique in a parturient with Eisenmenger syndrome

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Ravindra Kr. Gehlot ◽  
Devendra Verma ◽  
L. K. Raiger
Keyword(s):  
Cesarean Section ◽  
Low Dose ◽  
Pregnant Patient ◽  
Fetal Outcome ◽  
Successful Outcome ◽  
Eisenmenger Syndrome ◽  
Safe Alternative ◽  
Combined Spinal Epidural ◽  
Cardiac Lesions ◽  
Spinal Epidural

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.

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