Anesthetic management for elective lower segment cesarean section in a patient with systemic lupus erythematosus and thrombocytopenia

Abstract Background Severe pre-eclampsia poses a dilemma for the anesthesiologist especially in emergency situations where cesarean deliveries are done for the un-investigated or partially investigated parturient. Hemodynamic stability is the major goal of anesthetic management of these patients. Thoracic spinal anesthesia has been successfully given for various surgeries like breast cancer and abdominal cancer but not for cesarean section. Case presentation We report a case of a 35-year-old at 33+5-week period of gestation with severe pre-eclampsia and bullous lesions managed successfully with segmental thoracic spinal anesthesia. General anesthesia in this patient could have been risky as the patient was not fasting; airway bullous lesions could not be ruled out and Mallampati grade was III on airway examination. Presence of lesions in lumbar region precluded the lumbar spinal technique. The technique was associated with an adequate level of the sensory block during lower segment cesarean section, a high degree of hemodynamic stability, and a high patient satisfaction Conclusion Segmental thoracic spinal anesthesia can be used successfully and effectively for lower segment cesarean section by experienced anesthetists. Further studies are warranted to compare its effect, especially on hemodynamics with known techniques.

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Anesthetic Management of a Pregnant Female with Interstitial Lung Disease and Pulmonary Hypertension for Emergency Lower Segment Cesarean Section

ARC Journal of Anesthesiology ◽

10.20431/2455-9792.0301005 ◽

2018 ◽

Vol 3 (1) ◽

Keyword(s):

Pulmonary Hypertension ◽

Interstitial Lung Disease ◽

Cesarean Section ◽

Lung Disease ◽

Anesthetic Management ◽

Pregnant Female ◽

Lower Segment ◽

Lower Segment Cesarean Section

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Anesthetic Management of a Parturient with Congenital Complete Heart Block posted for Emergency Lower Segment Cesarean Section

The Journal of Medical Sciences ◽

10.5005/jp-journals-10045-0022 ◽

2015 ◽

Vol 1 (4) ◽

pp. 74-76

Author(s):

GS Karthik ◽

R Mamatha ◽

MJ Sowmya ◽

KT Venkateshmurthy ◽

H Sahajananda

Keyword(s):

Cesarean Section ◽

Heart Block ◽

Complete Heart Block ◽

Anesthetic Management ◽

Cardiac Pacing ◽

Pregnant Patient ◽

Fetal Outcome ◽

Lower Segment ◽

Lower Segment Cesarean Section ◽

Congenital Complete Heart Block

ABSTRACT Pregnancy complicated with complete heart block is rare and usually required termination of pregnancy in the past. Improvement in medical technology in the form of cardiac pacing has allowed taking these women to term. Overall, maternal and fetal outcome is not affected in asymptomatic cases. We report here an unbooked, pregnant patient presented at 38+ weeks with complete heart block and pregnancy-induced hypertension for emergency lower segment cesarean section (LSCS). Emergency LSCS was performed under general anesthesia. Maternal and fetal outcome was good. How to cite this article Mamatha R, Sowmya MJ, Venkateshmurthy, Sahajananda H, Karthik GS. Anesthetic Management of a Parturient with Congenital Complete Heart Block posted for Emergency Lower Segment Cesarean Section. J Med Sci 2015;1(4):74-76.

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