Combination of low-dose spinal anesthesia and epidural anesthesia as anesthetic management in patient with uncorrected Double Outlet Right Ventricle (DORV) underwent cesarean section.

Autor: Hartono R; Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Brawijaya University- Dr. Saiful Anwar General Hospital, Malang, Indonesia., Ramadhani DD; Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Brawijaya University- Dr. Saiful Anwar General Hospital, Malang, Indonesia., Isngadi I; Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Brawijaya University- Dr. Saiful Anwar General Hospital, Malang, Indonesia.
Jazyk: angličtina
Zdroj: Annals of cardiac anaesthesia [Ann Card Anaesth] 2022 Oct-Dec; Vol. 25 (4), pp. 518-521.
DOI: 10.4103/aca.aca_315_20
Abstrakt: Pregnant patients with uncorrected Double Outlet Right Ventricle (DORV) undergoing cesarean section are challenging for anesthesiologists. We present a case of a 24-year-old woman with a gestational age of 30-32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation.
Databáze: MEDLINE
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