Combination of Low-Dose Spinal Anesthesia and Epidural Anesthesia as Anesthetic Management in Patient with Uncorrected Double Outlet Right Ventricle (DORV) Underwent Cesarean Section

Pregnant patients with uncorrected Double Outlet Right Ventricle (DORV) undergoing cesarean section are challenging for anesthesiologists. We present a case of a 24-year-old woman with a gestational age of 30–32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C function...

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Autores principales: Hartono, Ruddi, Ramadhani, Dendy D., Isngadi, Isngadi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9732955/
https://www.ncbi.nlm.nih.gov/pubmed/36254920
http://dx.doi.org/10.4103/aca.aca_315_20
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author Hartono, Ruddi
Ramadhani, Dendy D.
Isngadi, Isngadi
author_facet Hartono, Ruddi
Ramadhani, Dendy D.
Isngadi, Isngadi
author_sort Hartono, Ruddi
collection PubMed
description Pregnant patients with uncorrected Double Outlet Right Ventricle (DORV) undergoing cesarean section are challenging for anesthesiologists. We present a case of a 24-year-old woman with a gestational age of 30–32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation.
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spelling pubmed-97329552022-12-10 Combination of Low-Dose Spinal Anesthesia and Epidural Anesthesia as Anesthetic Management in Patient with Uncorrected Double Outlet Right Ventricle (DORV) Underwent Cesarean Section Hartono, Ruddi Ramadhani, Dendy D. Isngadi, Isngadi Ann Card Anaesth Case Report Pregnant patients with uncorrected Double Outlet Right Ventricle (DORV) undergoing cesarean section are challenging for anesthesiologists. We present a case of a 24-year-old woman with a gestational age of 30–32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation. Wolters Kluwer - Medknow 2022 2022-10-10 /pmc/articles/PMC9732955/ /pubmed/36254920 http://dx.doi.org/10.4103/aca.aca_315_20 Text en Copyright: © 2022 Annals of Cardiac Anaesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Hartono, Ruddi
Ramadhani, Dendy D.
Isngadi, Isngadi
Combination of Low-Dose Spinal Anesthesia and Epidural Anesthesia as Anesthetic Management in Patient with Uncorrected Double Outlet Right Ventricle (DORV) Underwent Cesarean Section
title Combination of Low-Dose Spinal Anesthesia and Epidural Anesthesia as Anesthetic Management in Patient with Uncorrected Double Outlet Right Ventricle (DORV) Underwent Cesarean Section
title_full Combination of Low-Dose Spinal Anesthesia and Epidural Anesthesia as Anesthetic Management in Patient with Uncorrected Double Outlet Right Ventricle (DORV) Underwent Cesarean Section
title_fullStr Combination of Low-Dose Spinal Anesthesia and Epidural Anesthesia as Anesthetic Management in Patient with Uncorrected Double Outlet Right Ventricle (DORV) Underwent Cesarean Section
title_full_unstemmed Combination of Low-Dose Spinal Anesthesia and Epidural Anesthesia as Anesthetic Management in Patient with Uncorrected Double Outlet Right Ventricle (DORV) Underwent Cesarean Section
title_short Combination of Low-Dose Spinal Anesthesia and Epidural Anesthesia as Anesthetic Management in Patient with Uncorrected Double Outlet Right Ventricle (DORV) Underwent Cesarean Section
title_sort combination of low-dose spinal anesthesia and epidural anesthesia as anesthetic management in patient with uncorrected double outlet right ventricle (dorv) underwent cesarean section
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9732955/
https://www.ncbi.nlm.nih.gov/pubmed/36254920
http://dx.doi.org/10.4103/aca.aca_315_20
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