January 1, 2012Indian Journal of AnaesthesiaOpen Access

Congenital complete heart block and spinal anaesthesia for caesarean section

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Population

1 29-year-old pregnant female at 38 weeks gestation with congenital complete heart block, admitted for…

Design

Case_report

Follow-up

5 days

Authors

SPS ParthasarathyChandigarh University AKAUmesh KumarMahatma Gandhi Medical College and Research Institute RSR SripriyaBharathidasan University

Discussion

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Implication

Supports individualized anesthetic strategies in congenital complete heart block; leaves open generalizability beyond this single case.

Structured PICO

Population

1 29-year-old pregnant female (Gravida 3, Para 0, Abortion 2) at 38 weeks gestation with congenital complete heart block, admitted for elective lower segment caesarean section due to oligohydramnios.

Intervention

Temporary pacemaker insertion (VVI mode set at 50/min) followed by spinal anaesthesia using 1.0 mL hyperbaric 0.5% bupivacaine combined with 0.5 mL fentanyl (25 μg).

Outcome

Haemodynamic stability and successful delivery

Low-dose bupivacaine-fentanyl spinal anaesthesia combined with temporary pacing can safely maintain haemodynamic stability in pregnant patients with congenital complete heart block undergoing caesarean section.

Cite This Study

Parthasarathy et al. (2012) studied this question.

synapsesocial.com/papers/6a9158069732cc92acd2ce57 https://doi.org/10.4103/0019-5049.93350

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Congenital complete heart block and spinal anaesthesia for caesarean section

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Congenital complete heart block and spinal anaesthesia for caesarean section

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider