Key result
Fragmented levobupivacaine epidural safely facilitates C-section in uncorrected tetralogy of Fallot.
Why the study?
Is epidural anesthesia safe for a pregnant woman with uncorrected tetralogy of Fallot undergoing caesarian section?
Case Report (n=1)
No
Is epidural anesthesia safe for a pregnant woman with uncorrected tetralogy of Fallot undergoing caesarian section?
Epidural anesthesia with fragmented and increasing doses of slow levobupivacaine appears to be a safe option for caesarian section in pregnant women with uncorrected tetralogy of Fallot.
May support titrated epidural levobupivacaine for caesarean in uncorrected TOF; leaves open need for confirmatory data before broader use.
Tetralogy of Fallot is the most common cyanotic congenital cardiac disease. The hemodynamic changes which are present immediately after abdominal delivery may be resulted with serious, life-threatening multiorgan complications. Therefore the choice of anesthesia is very difficult. We describe the case of pregnant, 33 weeks gestation, with uncorrected tetralogy of Fallot who underwent caesarian section. The epidural anesthesia was performed uneventfully. After having stabile vital signs and a good general condition patient was followed up at the intensive care unit for 4 days. She was transferred to the obstetric service. We think that application of epidural anaesthesia with fragmented and increasing doses of slow levobupivacain in pregnant women with tetralogy of Fallot is safe. Nonetheless, this data of ours will grow stronger with the increase of the clinical application amount.
No takes yet. Share an insight, caveat, or question.
Filiz Alkaya Solmaz (2015) conducted a case report in Uncorrected Tetralogy of Fallot (n=1). Epidural anesthesia (levobupivacaine) was evaluated on Safety and clinical outcome. Epidural anesthesia with fragmented and increasing doses of slow levobupivacaine was safely performed in a pregnant woman with uncorrected tetralogy of Fallot undergoing caesarian section.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: