Anesthetic management of a patient with Eisenmenger′s syndrome for an emergency caesarean section in an under resourced area
Eisenmenger′s syndrome, although uncommon, has a plethora of literature available on its anesthetic management for caesarean sections. Options of management have varied from general anesthesia to continuous spinal to epidurals. However, management without the essential invasive monitoring devices po...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | Journal of Obstetric Anaesthesia and Critical Care |
| Subjects: | |
| Online Access: | http://www.joacc.com/article.asp?issn=2249-4472;year=2015;volume=5;issue=1;spage=27;epage=29;aulast=Rodrigues |
| _version_ | 1818481906223677440 |
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| author | Joanna Samantha Rodrigues Thrivikram Shenoy Manasa Acharya |
| author_facet | Joanna Samantha Rodrigues Thrivikram Shenoy Manasa Acharya |
| author_sort | Joanna Samantha Rodrigues |
| collection | DOAJ |
| description | Eisenmenger′s syndrome, although uncommon, has a plethora of literature available on its anesthetic management for caesarean sections. Options of management have varied from general anesthesia to continuous spinal to epidurals. However, management without the essential invasive monitoring devices poses a formidable challenge to the anesthetist. We present a case of a 26-year-old primigravida with Eisenmenger′s syndrome with pulmonary hypertension in labor who underwent an emergency cesarean section under epidural anesthesia in a hospital that lacked agents to maintain the cardiovascular stability as well as monitoring equipment - a situation not so uncommon in low resourced areas. The intra-operative course was uneventful but tragically she died on the 3 rd postoperative day. |
| first_indexed | 2024-12-10T11:41:16Z |
| format | Article |
| id | doaj.art-ba3c645e2ada49ddaab2055214b9237b |
| institution | Directory Open Access Journal |
| issn | 2249-4472 |
| language | English |
| last_indexed | 2024-12-10T11:41:16Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Obstetric Anaesthesia and Critical Care |
| spelling | doaj.art-ba3c645e2ada49ddaab2055214b9237b2022-12-22T01:50:15ZengWolters Kluwer Medknow PublicationsJournal of Obstetric Anaesthesia and Critical Care2249-44722015-01-0151272910.4103/2249-4472.155196Anesthetic management of a patient with Eisenmenger′s syndrome for an emergency caesarean section in an under resourced areaJoanna Samantha RodriguesThrivikram ShenoyManasa AcharyaEisenmenger′s syndrome, although uncommon, has a plethora of literature available on its anesthetic management for caesarean sections. Options of management have varied from general anesthesia to continuous spinal to epidurals. However, management without the essential invasive monitoring devices poses a formidable challenge to the anesthetist. We present a case of a 26-year-old primigravida with Eisenmenger′s syndrome with pulmonary hypertension in labor who underwent an emergency cesarean section under epidural anesthesia in a hospital that lacked agents to maintain the cardiovascular stability as well as monitoring equipment - a situation not so uncommon in low resourced areas. The intra-operative course was uneventful but tragically she died on the 3 rd postoperative day.http://www.joacc.com/article.asp?issn=2249-4472;year=2015;volume=5;issue=1;spage=27;epage=29;aulast=RodriguesCaesarean sectionEisenmenger′s syndromeepidural anesthesiapulmonary hypertensionunder resourced area |
| spellingShingle | Joanna Samantha Rodrigues Thrivikram Shenoy Manasa Acharya Anesthetic management of a patient with Eisenmenger′s syndrome for an emergency caesarean section in an under resourced area Journal of Obstetric Anaesthesia and Critical Care Caesarean section Eisenmenger′s syndrome epidural anesthesia pulmonary hypertension under resourced area |
| title | Anesthetic management of a patient with Eisenmenger′s syndrome for an emergency caesarean section in an under resourced area |
| title_full | Anesthetic management of a patient with Eisenmenger′s syndrome for an emergency caesarean section in an under resourced area |
| title_fullStr | Anesthetic management of a patient with Eisenmenger′s syndrome for an emergency caesarean section in an under resourced area |
| title_full_unstemmed | Anesthetic management of a patient with Eisenmenger′s syndrome for an emergency caesarean section in an under resourced area |
| title_short | Anesthetic management of a patient with Eisenmenger′s syndrome for an emergency caesarean section in an under resourced area |
| title_sort | anesthetic management of a patient with eisenmenger s syndrome for an emergency caesarean section in an under resourced area |
| topic | Caesarean section Eisenmenger′s syndrome epidural anesthesia pulmonary hypertension under resourced area |
| url | http://www.joacc.com/article.asp?issn=2249-4472;year=2015;volume=5;issue=1;spage=27;epage=29;aulast=Rodrigues |
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