Key result
Isoprenaline infusion maintains haemodynamic stability during emergency caesarean section in complete heart block without pacing.
Why the study?
Management strategies for parturients with complete heart block undergoing emergency caesarean section require preservation of heart rate to maintain hemodynamic stability, with uncertainty regarding the role of temporary pacing in asymptomatic patients.
Case Report (n=1)
No
Isoprenaline with general anaesthesia can be safely employed for emergency caesarean section in parturients with complete heart block when a pacemaker is unavailable.
No takes yet. Share an insight, caveat, or question.
May support isoprenaline as a bridge when pacing unavailable in emergency caesarean with complete heart block; hypothesis-generating and should not yet change practice.
Tambey et al. (2019) conducted a case report in Complete heart block in pregnancy (n=1). General anaesthesia with isoprenaline was evaluated on Haemodynamic stability and successful delivery. General anaesthesia with isoprenaline infusion successfully maintained haemodynamic stability in a parturient with complete heart block undergoing emergency caesarean section without a pacemaker.
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