Key result
Low-dose combined spinal epidural anaesthesia provided haemodynamic stability with little requirement for vasopressor medication in a parturient with uncorrected tetralogy of Fallot.
Why the study?
Previous reports on managing parturients with uncorrected tetralogy of Fallot have lacked advanced cardiac haemodynamic monitoring.
Does low-dose combined spinal epidural anaesthesia under advanced haemodynamic monitoring provide haemodynamic stability in a parturient with uncorrected tetralogy of Fallot undergoing caesarean section?
Case Report (n=1)
Does low-dose combined spinal epidural anaesthesia under advanced haemodynamic monitoring provide haemodynamic stability in a parturient with uncorrected tetralogy of Fallot undergoing caesarean section?
Low-dose combined spinal epidural anaesthesia with advanced haemodynamic monitoring can provide haemodynamic stability with minimal vasopressor requirement in parturients with uncorrected tetralogy of Fallot undergoing caesarean section.
Answers are grounded in this paper and cite their sources.
May aid haemodynamic stability in uncorrected TOF caesarean; hypothesis-generating and leaves open need for prospective trials.
Since management of parturients with uncorrected tetralogy of Fallot reported until now lacks advanced cardiac haemodynamic monitoring, we aimed to present anaesthetic management of a parturient with uncorrected tetralogy of Fallot scheduled for caesarean section by addressing the challenges in the management based on the advanced haemodynamic monitoring due to the expected high-risk maternal morbidity and mortality in this particular case. Hereby, we provided haemodynamic stability with little requirement for vasopressor medication by using low-dose combined spinal epidural anaesthesia in a parturient with uncorrected tetralogy of Fallot scheduled to undergo caesarean delivery.
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Eryılmaz et al. (2022) conducted a case report in Uncorrected tetralogy of Fallot (n=1). Low-dose combined spinal epidural anaesthesia under advanced haemodynamic monitorization was evaluated on Haemodynamic stability. Low-dose combined spinal epidural anaesthesia provided haemodynamic stability with little requirement for vasopressor medication in a parturient with uncorrected tetralogy of Fallot.
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