Key result
A 20-year-old woman developed severe cardiovascular collapse and angioedema due to an anaphylactic reaction immediately following delivery under spinal anesthesia, resolving with intravenous adrenaline.
Case Report (n=1)
This case highlights the importance of considering anaphylaxis, amniotic fluid embolism, and high spinal anesthesia as differential diagnoses for cardiovascular collapse during cesarean section under spinal anesthesia.
Anaphylaxis warrants inclusion in peripartum collapse differentials under spinal anesthesia; this case leaves open prospective validation of diagnostic algorithms.
A 20 years old ASA I full term primigravida in labor, underwent an emergency lower segment cesarean section under spinal anesthesia, the indication being fetal distress. Immediately following delivery of fetus, she complained of severe breathlessness and suffered a cardiovascular collapse. A presumptive diagnosis of high spinal anesthesia was made and she was managed accordingly. Thirty minutes later she developed angioedema which increased in severity over the next two hours and a diagnosis of anaphylactic reaction was made. The patient responded to intravenous adrenaline and recovered over next 24 hours. The aim of this case report is to discuss cardiovascular collapse and its etiological factors, such as anaphylaxis, amniotic fluid embolism and high spinal anesthesia during cesarean section.
No takes yet. Share an insight, caveat, or question.
Puri et al. (2009) conducted a case report in Cardiovascular collapse during cesarean section (n=1). Spinal anesthesia was evaluated on Cardiovascular collapse and anaphylactic reaction. A 20-year-old woman developed severe cardiovascular collapse and angioedema due to an anaphylactic reaction immediately following delivery under spinal anesthesia, resolving with intravenous adrenaline.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: