Low dose combined spinal and epidural anesthesia in a parturient with severe mitral stenosis and severe pulmonary arterial hypertension for cesarean section

Authors

  • Babita Ghai Post Graduate Institute of Medical Education & Research, Chandigarh 160012, India.
  • Vanita Ahuja Post Graduate Institute of Medical Education & Research, Chandigarh 160012, India.
  • Mukesh Kumar Senior resident,Department of Anesthesia and Intensive Care,Post Graduate Institute of Medical Education & Research, Chandigarh 160012, India.

Keywords:

mitral stenosis, parturient, neuraxial blockade, low dose spinal anesthesia

Abstract

We describe the anesthetic management for an elective cesarean section in a parturient with severe mitral stenosis and severe pulmonary arterial hypertension using a low dose of 5 mg hyperbaric 0.5% bupivacaine and 25 mcg fentanyl for spinal block supplemented with epidural lignocaine to achieve adequate level. This patient was vulnerable to develop complications due to hypotension and tachycardia which are usual complication of neuraxial blockade. This case reports highlights the hemodynamic stability using this anesthetic modality in a severe mitral stenosis parturient. Keywords: mitral stenosis; parturient; neuraxial blockade; low dose spinal anesthesia

Author Biographies

Babita Ghai, Post Graduate Institute of Medical Education & Research, Chandigarh 160012, India.

MD,DNB Assistant Professor Department of Anesthesia and Intensive Care

Vanita Ahuja, Post Graduate Institute of Medical Education & Research, Chandigarh 160012, India.

MD Department of Anesthesia and Intensive Care Senior Resident

Mukesh Kumar, Senior resident,Department of Anesthesia and Intensive Care,Post Graduate Institute of Medical Education & Research, Chandigarh 160012, India.

MD Senior Resident Department of Anesthesia and Intensive Care

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Published

2009-07-10

Issue

Vol. 15 No. 3 (2009)

Section

Case Studies

License

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