Anaesthetic Management of Parturient with Acute Atrial Fibrillation for Emergency Caesarean Section
A 31-year-antenatal lady with critical mitral stenosis presented for emergency caesarean section with fetal distress. She had acute onset atrial fibrillation. She was given a combined spinal epidural (CSE) anaesthesia and her arrhythmia was successfully managed after delivery of the baby with intrav...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2013/807624 |
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| author | Madhu Gupta Shalini Subramanian Preeti Adlakha |
| author_facet | Madhu Gupta Shalini Subramanian Preeti Adlakha |
| author_sort | Madhu Gupta |
| collection | DOAJ |
| description | A 31-year-antenatal lady with critical mitral stenosis presented for emergency caesarean section with fetal distress. She had acute onset atrial fibrillation. She was given a combined spinal epidural (CSE) anaesthesia and her arrhythmia was successfully managed after delivery of the baby with intravenous calcium channel blocker. Mitral stenosis is the most common valvular heart disease complicating pregnancy in developing countries. The physiological changes during pregnancy may exacerbate their cardiac symptoms. They may present with complications like congestive cardiac failure, atrial fibrillation, or pulmonary thromboembolism during the antenatal, intrapartum, or postpartum period. Here we discuss the management of parturient woman with high maternal and fetal risk presenting for emergency caesarean. The merits of regional anaesthesia and the importance of invasive monitoring are also discussed. |
| format | Article |
| id | doaj-art-1882df23fdd240a8bbadb101709a511e |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-1882df23fdd240a8bbadb101709a511e2025-02-03T05:50:13ZengWileyCase Reports in Anesthesiology2090-63822090-63902013-01-01201310.1155/2013/807624807624Anaesthetic Management of Parturient with Acute Atrial Fibrillation for Emergency Caesarean SectionMadhu Gupta0Shalini Subramanian1Preeti Adlakha2Department of Anaesthesiology, ESI-PGIMSR, Basaidara Pur, New Delhi, IndiaDepartment of Anaesthesiology, ESI-PGIMSR, Basaidara Pur, New Delhi, IndiaDepartment of Anaesthesiology, ESI-PGIMSR, Basaidara Pur, New Delhi, IndiaA 31-year-antenatal lady with critical mitral stenosis presented for emergency caesarean section with fetal distress. She had acute onset atrial fibrillation. She was given a combined spinal epidural (CSE) anaesthesia and her arrhythmia was successfully managed after delivery of the baby with intravenous calcium channel blocker. Mitral stenosis is the most common valvular heart disease complicating pregnancy in developing countries. The physiological changes during pregnancy may exacerbate their cardiac symptoms. They may present with complications like congestive cardiac failure, atrial fibrillation, or pulmonary thromboembolism during the antenatal, intrapartum, or postpartum period. Here we discuss the management of parturient woman with high maternal and fetal risk presenting for emergency caesarean. The merits of regional anaesthesia and the importance of invasive monitoring are also discussed.http://dx.doi.org/10.1155/2013/807624 |
| spellingShingle | Madhu Gupta Shalini Subramanian Preeti Adlakha Anaesthetic Management of Parturient with Acute Atrial Fibrillation for Emergency Caesarean Section Case Reports in Anesthesiology |
| title | Anaesthetic Management of Parturient with Acute Atrial Fibrillation for Emergency Caesarean Section |
| title_full | Anaesthetic Management of Parturient with Acute Atrial Fibrillation for Emergency Caesarean Section |
| title_fullStr | Anaesthetic Management of Parturient with Acute Atrial Fibrillation for Emergency Caesarean Section |
| title_full_unstemmed | Anaesthetic Management of Parturient with Acute Atrial Fibrillation for Emergency Caesarean Section |
| title_short | Anaesthetic Management of Parturient with Acute Atrial Fibrillation for Emergency Caesarean Section |
| title_sort | anaesthetic management of parturient with acute atrial fibrillation for emergency caesarean section |
| url | http://dx.doi.org/10.1155/2013/807624 |
| work_keys_str_mv | AT madhugupta anaestheticmanagementofparturientwithacuteatrialfibrillationforemergencycaesareansection AT shalinisubramanian anaestheticmanagementofparturientwithacuteatrialfibrillationforemergencycaesareansection AT preetiadlakha anaestheticmanagementofparturientwithacuteatrialfibrillationforemergencycaesareansection |