Why the study?
Does combined spinal and epidural anaesthesia provide safe haemodynamic management in a parturient with severe pulmonary stenosis undergoing Caesarean section?
Does combined spinal and epidural anaesthesia provide safe haemodynamic management in a parturient with severe pulmonary stenosis undergoing Caesarean section?
Combined spinal and epidural anaesthesia can be safely used to maintain haemodynamic stability in parturients with severe pulmonary stenosis undergoing Caesarean section.
May support combined spinal-epidural for haemodynamic stability in severe pulmonary stenosis Caesarean; hypothesis-generating and should not yet change practice.
We report the successful management of a parturient with severe pulmonary stenosis undergoing Caesarean section. Anaesthesia was managed with combined spinal and epidural anaesthetic technique. During the intraoperative period, haemodynamic parameters were well maintained. There were no episodes of haemodynamic fluctuations or oxygen desaturation. The patient delivered a full-term, normal foetus.
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Makkar et al. (2010) studied this question.
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