Epidural Anesthesia for Cesarean Section in a Parturient with Eisenmenger's Syndrome -A case report-.
10.4097/kjae.1996.31.1.109
- Author:
Whark Soo PARK
1
;
Hong KO
Author Information
1. Department of Anesthesiology, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Anesthetic Technique epidural;
Heart congenital defects;
Eisenmenger's syndrome;
Pregnancy cesarean section
- MeSH:
Adult;
Anesthesia, Epidural*;
Blood Pressure;
Bupivacaine;
Central Venous Pressure;
Cesarean Section*;
Down Syndrome;
Eisenmenger Complex*;
Electrocardiography;
Female;
Fentanyl;
Fingers;
Humans;
Lidocaine;
Mothers;
Oximetry;
Pain, Postoperative;
Phenylephrine;
Pregnancy;
Prognosis
- From:Korean Journal of Anesthesiology
1996;31(1):109-113
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Eisenmenger' syndrome is defined as pulmonary hypertention with right-to-left or bidirectional shunt with peripheral cynosis. All patients with Eisenmenger' syndrome are at markedly increased risk and poor prognosis. We experienced a case of 31-year-old, pregnancy 36 weeks with Eisenmenger's syndrome secondary to PDA and Down syndrome. We carefully performed epidural anesthesia with fractionated doses of 2 % lidocaine and fentanyl. The sensory block reached to T6 level. Monitoring included ECG, invasive blood pressure, finger pulse oximetry and central venous pressure. Blood pressure was maintained with intravenous phenylephrine. Blood loss was promptly replaced with crystalloid solution and FFP. Postoperative pain was managed successfully with continuous epidural infusion of 0.2 % bupivacaine and fentanyl. The mother and baby were discharged home 1 week later without complicaton.
