Key result
Low-dose sequential combined spinal-epidural anesthesia was successfully used for a cesarean section in a patient with Eisenmenger syndrome, resulting in minimal hemodynamic changes and good fetal outcome.
Why the study?
Eisenmenger syndrome is rarely encountered in pregnancy, and management of these pregnant patients represents a challenging task for anesthesiologists.
Does low-dose sequential combined spinal-epidural anesthesia provide safe anesthesia with hemodynamic stability in a pregnant patient with Eisenmenger syndrome undergoing cesarean section?
Case Report (n=1)
Does low-dose sequential combined spinal-epidural anesthesia provide safe anesthesia with hemodynamic stability in a pregnant patient with Eisenmenger syndrome undergoing cesarean section?
Low-dose sequential combined spinal-epidural anesthesia may be a safe alternative for achieving hemodynamic stability during cesarean section in patients with Eisenmenger syndrome.
May support low-dose sequential CSE for cesarean in Eisenmenger syndrome; leaves open need for prospective validation before practice change.
Background Eisenmenger syndrome belongs to the 0.4–4.1% (incidence) rarely encountered congenital cardiac lesions in pregnancy. Management of a pregnant patient with Eisenmenger syndrome is a challenging task for the anesthesiologist. Case presentation Here, we report the successful outcome with the use of low-dose sequential combined spinal–epidural (CSE) anesthesia in a patient with Eisenmenger syndrome posted for cesarean section. Low-dose sequential CSE anesthesia was adequate for the performance of cesarean section with minimal hemodynamic changes and good fetal outcome. Conclusion Low-dose sequential CSE can be a safe alternative to achieve good anesthesia with hemodynamic stability in such case.
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Gehlot et al. (2021) conducted a case report in Eisenmenger syndrome in pregnancy (n=1). Low-dose sequential combined spinal-epidural (CSE) anesthesia was evaluated on Hemodynamic changes and fetal outcome. Low-dose sequential combined spinal-epidural anesthesia was successfully used for a cesarean section in a patient with Eisenmenger syndrome, resulting in minimal hemodynamic changes and good fetal outcome.
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