scholarly journals Ultrasound-guided epidural anesthesia for a parturient with severe malformations of the skeletal system undergoing cesarean delivery: a case report

2015 ◽  
pp. 7 ◽  
Author(s):  
Linli Luo ◽  
Juan Ni ◽  
Lan Wu ◽  
Dong Luo
Keyword(s):  
Case Report ◽  
Cesarean Delivery ◽  
Epidural Anesthesia ◽  
Skeletal System ◽  
Ultrasound Guided

scholarly journals Mepivacaine-induced anaphylactic shock in a pregnant woman undergoing combined spinal and epidural anesthesia for cesarean delivery: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Miyuki Takahashi ◽  
Kunihisa Hotta ◽  
Soichiro Inoue ◽  
Tomonori Takazawa ◽  
Tatsuo Horiuchi ◽  
...  
Keyword(s):  
Case Report ◽  
Cesarean Delivery ◽  
Epidural Anesthesia ◽  
Anaphylactic Shock ◽  
Vital Signs ◽  
Birth Asphyxia ◽  
Causative Factor ◽  
Fetal Heart Rate Monitoring ◽  
Developmental Problems ◽  
Severe Hypotension

Abstract Background Anaphylactic shock during pregnancy is a rare but life-threatening event for both the mother and the newborn. Case presentation A 42-year-old woman, who was pregnant with twins, was scheduled for cesarean delivery under combined spinal and epidural anesthesia. An epidural catheter was placed uneventfully. After spinal anesthesia, the patient exhibited skin symptoms and severe hypotension. The patient was diagnosed with anaphylaxis, and subsequently, treatment was started. Fetal heart rate monitoring revealed sustained bradycardia, and it was decided to proceed with cesarean delivery. After delivery, the mother’s vital signs recovered. Both infants were intubated due to birth asphyxia. Currently, the twins are 4 years old and exhibit no developmental problems. Clinical examination identified mepivacaine as the causative agent of anaphylaxis. Conclusions This case report highlights that upon occurrence of anaphylaxis during pregnancy, maternal treatment and fetal assessment should be started immediately. Indication for immediate cesarean delivery should be considered and a definite identification of the causative factor pursued.

scholarly journals Ultrasound Guided Thoracic Paravertebral and Coeliac Plexus Block for Open Cholecystectomy in a Patient with Multiple Co-Morbidities : A Case Report

2018 ◽  
Vol 3 (2) ◽  
pp. 508-510
Author(s):  
Rupesh Kumar Yadav ◽  
Anuj Jung Rayamajhi ◽  
Bidur Kumar Dhungel ◽  
Subash Chandra Poudel ◽  
Prashanta Poudel ◽  
...  
Keyword(s):  
Case Report ◽  
Epidural Anesthesia ◽  
Open Cholecystectomy ◽  
Rectus Sheath ◽  
Paravertebral Block ◽  
Ultrasound Guided ◽  
Nerve Blocks ◽  
Rectus Sheath Block ◽  
Plexus Block ◽  
Spinal Epidural

Ultrasound guided nerve blocks are gaining popularity these days due to its higher accuracy and reduced incidence of complications. Ultrasound guided unilateral paravertebral block in combination with unilateral coeliac plexus block and unilateral Rectus sheath block in patients with multiple co-morbidities provides adequate anesthesia for surgery and it also reduces incidences of mortality, morbidity and hospital stay in comparison to General anesthesia and spinal / epidural anesthesia. Paravertebral block , Coeliac plexus block and Rectus sheath blocks can be performed with higher success rate with the use of ultrasound.  BJHS 2018;3(2)6:508-510.

Acute Dystonia after a Single Dose of Intravenous Metoclopramide during Elective Cesarean Section: A Case Report.

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Danielle Levin
Keyword(s):  
Single Dose ◽  
Case Report ◽  
Cesarean Section ◽  
Epidural Anesthesia ◽  
Elective Cesarean Section ◽  
Single Administration ◽  
Dystonic Reaction ◽  
Elective Cesarean ◽  
Combined Spinal Epidural Anesthesia ◽  
Spinal Epidural

We would like to present the first report of severe acute dystonic reaction after a single administration of metoclopramide during cesarean section under combined spinal-epidural anesthesia.  During elective cesarean section, a 30-year-old female vomited four times and was treated with 10mg intravenous metoclopramide and 8mg intravenous ondansetron.  Nausea subsided with the antiemetic treatment, but two minutes later, patient had rapid eye blinking, uncontrollable head movement, and became unresponsive.  Bolus of 50mg intravenous diphenhydramine resolved the acute dystonic symptoms within seconds.  Patient was again oriented times three, with no recollection of symptoms, and remained symptom free for the rest of admission. 

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