General Anesthesia for Emergency Cesarean Section in a Patient with Severe Aortic Stenosis

1999 ◽  
Vol 37 (5) ◽  
pp. 951
Author(s):  
Jeong Ok Jo ◽  
Mi Jung Ahn ◽  
Ye Young Yang ◽  
Soo Chang Son ◽  
Yun Ee Rhee
Keyword(s):  
Aortic Stenosis ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Severe Aortic Stenosis ◽  
Emergency Cesarean Section ◽  
Emergency Cesarean

scholarly journals Fetomaternal Outcome in Severe Preeclamptic Women Undergoing Emergency Cesarean Section under Either General Or Spinal Anesthesia

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Suman Chattopadhyay ◽  
Ashok Das ◽  
Subrata Pahari
Keyword(s):  
Critical Care ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Spinal Anesthesia ◽  
Neonatal Mortality ◽  
Length Of Hospital Stay ◽  
Pressure Control ◽  
Emergency Cesarean Section ◽  
Emergency Cesarean ◽  
Care Support

This prospective observational study compared the effects of general and spinal anesthesia in 173 severe preeclamptic women undergoing emergency cesarean section. 146 (84.5%) patients underwent spinal anesthesia (SA) and 27 (15.5%) patients had general anesthesia (GA). Most of the patients were primigravid and nulliparous. Intraoperatively SA group required more intravenous fluid and vasopressor support, while GA group required more preoperative labetalol injection for blood pressure control. Overall 13.3% of patients required critical care, particularly GA group (44.4% versus 7.5%;P<0.001). Patients receiving GA had a higher mortality (25.9% versus 1.4%;P<0.001). The length of hospital stay was comparable. Significantly more neonates of patients receiving GA were found to be preterm (77.8% versus 44.5%;P<0.01) and required advanced resuscitation. GA group also had higher neonatal mortality (29.6% versus 11%;P<0.05). To conclude, severe preeclamptic mothers receiving general anesthesia and their babies required more critical care support. Maternal as well as neonatal mortality was significantly higher with general anesthesia.

A Case of Emergency Cesarean Section on Client with Pseudopregnancy

2020 ◽  
pp. 1-6
Keyword(s):  
Heart Rate ◽  
Cesarean Section ◽  
Fetal Heart Rate ◽  
Medical Service ◽  
Fetal Heart ◽  
Placenta Previa ◽  
Urban Hospital ◽  
Emergency Cesarean Section ◽  
Emergency Cesarean ◽  
Rural Health Center

Pseudopregnancy detection is significant while as the false pregnancy may show all symptoms. It is important to differentiate it. This is a case report of a pseudopregnancy which led to an emergency cesarean section. A 28-year-old woman who claimed to 7-month pregnancy was brought to the rural health center by husband families complaining of vaginal bleeding. The woman refers to an urban hospital by Emergency Medical Service with the diagnosis of placenta previa. In the hospital, she underwent an emergency cesarean section due to a severe deceleration of fetal heart rate, prior to assessing by sonography. No fetus or signs of uterine or abdominal pregnancy were found. Wrong auscultation of the mother's heart rate instead of fetal heart rate seems to be the main error. It is required to pay more attention to the methods of differentiation of fetal heart rate from the mother's heart rate. This report enlightens false pregnancy and early differentiation.

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