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Navigating High-Risk Obstetric Anesthesia: Successful Management of Cesarean Section with Graded Epidural Blockade in a Parturient with Atrial Septal Defect and Moderate Pulmonary Hypertension

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Graded epidural blockade successfully maintained maternal hemodynamic stability during cesarean section, avoiding vasopressors.
The patient, with a large ASD and moderate PH, achieved stable parameters throughout the procedure, reflecting effective anesthetic management.
Advanced invasive monitoring was employed, ensuring careful titration of anesthetic and preventing drastic hemodynamic changes during surgery.
A multidisciplinary approach was crucial in executing the anesthetic plan, emphasizing teamwork for maternal safety in high-risk deliveries.

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Case highlights successful graded epidural anesthesia maintaining hemodynamic stability in a parturient, suggesting safety in high-risk scenarios.

Wicaksana et al. (2025) studied this question.

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Case highlights successful graded epidural anesthesia maintaining hemodynamic stability in a parturient, suggesting safety in high-risk scenarios.