Open AccessAnesthetic management of a patient with Eisenmenger′s syndrome for an emergency caesarean section in an under resourced area
Author(s) -
Joanna Samantha Rodrigues,
Thrivikram Shenoy,
Manasa Acharya
Publication year - 2015
Publication title -
journal of obstetric anaesthesia and critical care/journal of obstetric anaesthesia and critial care
Language(s) - English
Resource type - Journals
eISSN - 2249-9539
pISSN - 2249-4472
DOI - 10.4103/2249-4472.155196
Subject(s) - medicine , eisenmenger syndrome , caesarean section , anesthesia , pulmonary hypertension , pregnancy , cardiology , biology , genetics
Eisenmenger′s syndrome, although uncommon, has a plethora of literature available on its anesthetic management for caesarean sections. Options of management have varied from general anesthesia to continuous spinal to epidurals. However, management without the essential invasive monitoring devices poses a formidable challenge to the anesthetist. We present a case of a 26-year-old primigravida with Eisenmenger′s syndrome with pulmonary hypertension in labor who underwent an emergency cesarean section under epidural anesthesia in a hospital that lacked agents to maintain the cardiovascular stability as well as monitoring equipment - a situation not so uncommon in low resourced areas. The intra-operative course was uneventful but tragically she died on the 3 rd postoperative day