Key result
Epidural anesthesia was successfully managed during an emergency cesarean section in a patient with vasovagal syncope by promptly treating hypotension and bradycardia with fluids and vasoconstrictors.
Case Report (n=1)
No
This case highlights the importance of recognizing and promptly treating vasovagal syncope with fluids and vasoconstrictors during epidural anesthesia for cesarean section to prevent severe hypotension.
Should not change practice based on one case; hypothesis-generating for vasovagal syncope management during epidural cesarean anesthesia.
Epidural anesthesia was performed for a cesarean section in a patient with vasovagal syncope. A 26-year-old woman at 41 weeks of gestation and with a known history of vasovagal syncope was scheduled to undergo an emergency cesarean section. She received epidural anesthesia for the cesarean delivery and showed signs and symptoms of vasovagal syncope, which were treated successfully with fluids and the administration of a vasoconstrictor. This case highlights the need for anesthesiologists to understand vasovagal syncope precisely because severe hypotension in a patient under anesthesia for a cesarean section is dangerous to both the mother and baby.
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Park et al. (2010) conducted a case report in Vasovagal syncope in pregnancy (n=1). Epidural anesthesia was evaluated. Epidural anesthesia was successfully managed during an emergency cesarean section in a patient with vasovagal syncope by promptly treating hypotension and bradycardia with fluids and vasoconstrictors.
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