ANAESTHETIC MANAGEMENT IN CAESAREAN SECTION IN A PARTURIENT WITH KYPHOSCOLIOSIS : A CASE REPORT

2021 ◽  
pp. 58-59
Author(s):  
Garima Anant ◽  
Asha Asha ◽  
Bharti Verma ◽  
Nidhi Panu
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
General Anaesthesia ◽  
Potential Risk ◽  
Anaesthetic Management ◽  
Previous Caesarean Section ◽  
Pathological Changes ◽  
History Of ◽  
Period Of Gestation

Alterations in maternal physiology and pathological changes in kyphoscoliosis results in anaesthetic complications for caesarean section with potential risk for both mother and fetus. Safe and skilled anaesthetic management to minimize risk to mother and fetus is required. We report a case of 25-year-old female, with G2P1L1, with 28 weeks of period of gestation, with history of previous caesarean section, with pre-eclampsia, with kyphoscoliosis in labour with contracted pelvis, managed by general anaesthesia for caesarean section.

scholarly journals Corrected Scoliosis, Cholinesterase Deficiency, and Cesarean Section: A Case Report

2009 ◽  
Vol 2009 ◽  
pp. 1-3 ◽  
Author(s):  
Roy Somers ◽  
Yves Jacquemyn ◽  
Luc Sermeus ◽  
Marcel Vercauteren
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Cesarean Section ◽  
General Anaesthesia ◽  
Spinal Anaesthesia ◽  
Regional Anaesthesia ◽  
Previous Caesarean Section ◽  
Corrective Surgery ◽  
Ultrasound Guided ◽  
Severe Scoliosis

We describe a patient with severe scoliosis for which corrective surgery was performed at the age of 12. During a previous caesarean section under general anaesthesia pseudocholinesterase deficiency was discovered. Ultrasound guided spinal anaesthesia was performed enabling a second caesarean section under loco-regional anaesthesia.

scholarly journals Bladder Injury during Caesarean Section, Surgical and Anaesthetic Management: A Case Report and Review of the Literature

2021 ◽  
Vol 6 (3) ◽  
pp. 167-169
Author(s):  
Shallu Chaudhary ◽  
Major Amit Atwal
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Urinary Bladder ◽  
Rare Complication ◽  
Previous History ◽  
Anaesthetic Management ◽  
Bladder Injury ◽  
Review Of The Literature ◽  
Emergency Caesarean ◽  
History Of

Urinary bladder injury is a rare complication during caesarean section but its incidence is increasing due to growing trend in caesarean deliveries. In this case report, we reported a 32 year old pregnant female with previous history of caesarean section who presented during labour. Emergency caesarean was done and the case was complicated with bladder injury intraoperatively. The injury was immediately identified and was repaired in two layers. This case highlights the anaesthetic and surgical management of inadvertent bladder injury during caesarean section. Keywords: Bladder injury, caesarean section, Emergency caesarean.

scholarly journals Anaesthetic management of emergency caesarean section in a patient with peripartum cardiomyopathy under general anaesthesia - a case report

2016 ◽  
Vol 3 (1) ◽  
pp. 32-34
Author(s):  
Dipti Raj ◽  
Kumari Priti ◽  
Hasina Quari
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
General Anaesthesia ◽  
Postpartum Period ◽  
Myocardial Contractility ◽  
Regional Anaesthesia ◽  
Anaesthetic Management ◽  
Peripartum Cardiomyopathy ◽  
Emergency Caesarean Section ◽  
Emergency Caesarean

Peripartum cardiomyopathy is a unique and rare kind of cardiomyopathy of unknown cause that occurs during pregnancy or the postpartum period. Regional anaesthesia for anaesthetic management of this condition has been extensively described. There are limited reports of anaesthetic management of caesarean section of this case under general anaesthesia. We report a case of 32 years old lady diagnosed to have peripartum cardiomyopathy requiring emergency caesarean section that was successfully managed under general anaesthesia. Anaesthetic management was directed towards optimization of myocardial contractility, preload and after load.

Ultrasound guided vacuum aspiration treatment of caesarean scar ectopic pregnancy

2021 ◽  
Vol 86 (3) ◽  
pp. 184-188
Author(s):  
Adrián Totka ◽  
◽  
Martin Gábor ◽  
Martin Alföldi ◽  
Ivana Kunochová ◽  
...  
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Ectopic Pregnancy ◽  
Previous Caesarean Section ◽  
Ultrasound Guided ◽  
Caesarean Scar ◽  
Vacuum Aspiration ◽  
Caesarean Scar Pregnancy ◽  
Aspiration Technique ◽  
History Of

Summary: Objective: To describe the case of ectopic pregnancy in the scar after caesarean section and its successful treatment using the technique of sonographically controlled vacuum aspiration. Case report: The case of a 35-year-old patient with a history of two caesarean sections referred by a district gynecologist in the 6th week of pregnancy with suspected pathological localization of pregnancy in a scar after a previous caesarean section. The procedure for the diagnosis and treatment of ectopic pregnancy in the scar after previous caesarean sections has been successfully resolved using sonographically controlled vaginal vacuum aspiration. Conclusion: Caesarean scar pregnancy occurs as a complication of previous caesarean section or other uterine instrumental performances. The use of the sonographically controlled vacuum aspiration technique appears to be a successful method of treating pregnancy in a scar after a caesarean section.

SPINAL ANAESTHESIA USING TAYLOR’S APPROACH SAVES THE DAY IN OBESE PARTURIENT.

2021 ◽  
pp. 228-228
Author(s):  
Vishal Vashist ◽  
Roohani Mahajan ◽  
Bhanu Gupta
Keyword(s):  
Caesarean Section ◽  
General Anesthesia ◽  
General Anaesthesia ◽  
Spinal Anaesthesia ◽  
Case History ◽  
Breech Presentation ◽  
Lower Segment ◽  
Subarachnoid Block ◽  
Lower Segment Caesarean Section ◽  
History Of

Subarachnoid block is commonly employed for caesarean deliveries, by virtue of its simplicity in terms of performance, safety for the parturients as compared to general anesthesia. The case history of a 27-yearold female parturiant patient is presented. She was posted for emergency lower segment caesarean section in view of primigravida with breech presentation in labour . She was obese with bodyweight of 102 kg. She had a thick scaly plaque over the back in midline from L1 to L5 area, which is contraindication for administration of spinal anaesthesia via standard median and paramedian approach . Taylor’s approach for administration of the same was tried and proved successful, thus saving the patient from receiving general anaesthesia .

scholarly journals Ergometrine-induced atrial fibrillation at caesarean section

2019 ◽  
Vol 12 (2) ◽  
pp. e226747 ◽  
Author(s):  
Samuel Birch ◽  
Corrine Lu
Keyword(s):  
Atrial Fibrillation ◽  
Caesarean Section ◽  
General Population ◽  
Spontaneous Rupture ◽  
Regional Hospital ◽  
Previous Caesarean Section ◽  
Autonomic Tone ◽  
Uterine Contractions ◽  
History Of ◽  
Obstetric Population

A 36-year-old woman with a history of one previous caesarean section presented to the birthing suite of a regional hospital with spontaneous rupture of membranes at 39+2/40 weeks. Syntocinon was administered to initiate uterine contractions in the absence of labour, as the patient desired vaginal birth. A caesarean section was subsequently indicated and ergometrine was administered for uterine atony. The patient immediately developed atrial fibrillation (AF). AF is the most common sustained arrhythmia in the general population, but is rare in the obstetric population. AF occurring in an intrapartum setting following the administration of syntocinon and ergometrine, is not documented in the literature. We suggest the initiation of paroxysmal AF was precipitated by an abrupt alteration in autonomic tone caused by administration of syntocinon followed by ergometrine.

scholarly journals Anaesthetic Management of Two Patients with Pompe Disease for Caesarean Section

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
I. J. J. Dons-Sinke ◽  
M. Dirckx ◽  
G. P. Scoones
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Enzyme Replacement Therapy ◽  
Replacement Therapy ◽  
Pompe Disease ◽  
Muscle Function ◽  
Respiratory Muscle ◽  
Late Onset ◽  
Anaesthetic Management ◽  
Enzyme Replacement

The introduction of enzyme replacement therapy and the resultant stabilisation or improvement in mobility and respiratory muscle function afforded to patients with late-onset Pompe may lead to an increased number of Pompe patients prepared to accept the challenges of parenthood. In this case report, we describe our anaesthetic management of two patients with Pompe disease for a caesarean section.

scholarly journals Ogilvie Syndrome Following Caesarean Section: A Case Report

2021 ◽  
Vol 28 (2) ◽  
pp. E202126
Author(s):  
Sanae Sninate ◽  
Habib Bellamlih ◽  
Soukaina Allioui ◽  
Leila Jroundi ◽  
Fatima Zahrae Laamrani
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Cesarean Section ◽  
Young Patients ◽  
Abdominal Distension ◽  
Intravenous Contrast ◽  
History Of ◽  
Ogilvie Syndrome ◽  
Fluid Levels ◽  
Tomography Scan

Background. Ogilvie syndrome is a rare postpartum complication. It is characterized by an acute colonic pseudo-obstruction which occurs in the absence of a mechanical cause. Early detection of the diagnosis is essential to avoid cecal perforation. Case report. We report a case of Ogilvie syndrome following caesarean section in a 39-year-old woman (gravida 2, para 2) with a history of secondary infertility 10 years ago due to tubal stenosis and subserous fibroma, which led to the indication for cesarean section in second pregnancy at 39 weeks of gestation. Three days after cesarean section, the patient presented with significant abdominal distension and tenderness, vomiting, weakness, and nausea; an abdominal X-ray showed cecal distension. Abdominal computed tomography scan with intravenous contrast revealed distension of the ascending and transverse colon with air-fluid levels but without transitional mechanical obstruction. The patient was successfully treated. Conclusions. Ogilvie syndrome is a rare but serious complication that should be considered in fit young patients who present with pain, severe abdominal distension and failure to pass flatus after caesarean section.

scholarly journals An efficient multidisciplinary approach in a pregnant patient with hereditary spastic paraparesis treated by intrathecal baclofen therapy: A case report

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Fostier M ◽  
◽  
Roland V ◽  
Dereine T ◽  
Deltombe T ◽  
...  
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Spastic Paraparesis ◽  
Pregnant Patient ◽  
Anaesthetic Management ◽  
Intrathecal Baclofen ◽  
Intrathecal Catheter ◽  
Hereditary Spastic Paraparesis ◽  
Intrathecal Baclofen Therapy ◽  
Pregnancy And Delivery

Literature regarding cases of pregnant patients with hereditary spastic paraparesis (Strumpell-Lorrain disease) and those treated by intrathecal baclofen therapy is sparse. There are currently no specific guidelines to manage pregnancy and delivery in these patients. A 42-year-old woman presented to our clinic with hereditary spastic paraparesis and was treated with intrathecal baclofen for spasticity. She conceived twice and delivered successfully by caesarean section under subarachnoid anaesthesia. The two pregnancies had favourable outcomes with no increase in spasticity and no problems encountered with the intrathecal device. In this report, we discuss the evolution of both pregnancies and the anaesthetic management for deliveries in the presence of an intrathecal catheter. Keywords: Caesarean section; case report; hereditary spastic paraparesis; intrathecal baclofen; pregnancy.

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