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Anaesthesia for Caesarean section in a patient receiving high dose amiodarone for fetal supraventricular tachycardia
Author(s) -
FULGENCIO J. P.,
HAMZA J.
Publication year - 1994
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1994.tb03473.x
Subject(s) - medicine , amiodarone , anesthesia , caesarean section , supraventricular tachycardia , fentanyl , tachycardia , general anaesthesia , refractory (planetary science) , pregnancy , cardiology , atrial fibrillation , physics , biology , astrobiology , genetics
Summary We report the anaesthetic management of a Caesarean section in a woman treated with high dose amiodarone for fetal supraventricular tachycardia. Most of the interactions between anaesthesia and amiodarone therapy previously reported were observed during general anaesthesia. We therefore chose epidural anaesthesia using incremental doses of lignocaine 2% with adrenaline and fentanyl. This technique appeared to be safe, but since severe refractory vasodilatation with hypotension may occur, potent vasopressor agents should be immediately available.