Key result
Regional anaesthesia successfully manages caesarean section in a Covid-19 parturient with new cardiomyopathy and SVT.
Why the study?
Anaesthetic management of parturients with cardiomyopathy for caesarean section is challenging due to the need to maintain preload and afterload while avoiding myocardial depression, particularly in the setting of Covid-19.
Case Report (n=1)
Regional anaesthesia can be successfully used for caesarean section in a Covid-19 positive parturient with newly diagnosed cardiomyopathy and supraventricular tachycardia.
Feasibility suggested in one case; leaves open broader safety and applicability in similar high-risk parturients.
Covid 19 has been a globally concerning pandemic affecting more than 20 million population worldwide including pregnant women. Cardiomyopathy is a rare affliction occurring in the last trimester of pregnancy or early postpartum manifesting as acute heart failure/ development of sudden arrhythmias/ thromboembolic complications. Anaesthetic management of such patients for caesarean section can be quite challenging, the main goals being maintenance of preload and afterload while avoiding myocardial depression at the same time whatever be the choice of anaesthetic technique. Here we report the successful management of a Covid-19 positive parturient under regional anaesthesia who was recently diagnosed with cardiomyopathy presenting with supraventricular tachycardia.
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Venkat et al. (2021) conducted a case report in Covid-19, newly diagnosed cardiomyopathy, supraventricular tachycardia in pregnancy (n=1). Regional anaesthesia was evaluated on Successful anaesthetic management. Regional anaesthesia was successfully used for the management of a Covid-19 positive parturient with newly diagnosed cardiomyopathy and supraventricular tachycardia undergoing caesarean section.
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