Management of an Uncorrected Tetralogy of Fallot for Caesarean Section Using Low-Dose Combined Spinal Epidural Anaesthesia Under Advanced Haemodynamic Monitorization


Camgöz Eryilmaz N., Emmez G., Keskin B., Arabaci O., Gunaydin B.

TURKISH JOURNAL OF ANAESTHESIOLOGY AND REANIMATION, vol.50, no.4, pp.315-317, 2022 (ESCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 50 Issue: 4
  • Publication Date: 2022
  • Doi Number: 10.5152/tjar.2022.21388
  • Journal Name: TURKISH JOURNAL OF ANAESTHESIOLOGY AND REANIMATION
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.315-317
  • Keywords: Caesaren delivery, combined spinal epidural anaesthesia, haemodynamic monitoring, tetralogy of Fallot
  • Gazi University Affiliated: Yes

Abstract

Since management of parturients with uncorrected tetralogy of Fallot reported until now lacks advanced cardiac haemodynamic monitoring, we aimed to present anaesthetic management of a parturient with uncorrected tetralogy of Fallot scheduled for caesarean section by addressing the challenges in the management based on the advanced haemodynamic monitoring due to the expected high-risk maternal morbidity and mortality in this particular case. Hereby, we provided haemodynamic stability with little requirement for vasopressor medication by using low-dose combined spinal epidural anaesthesia in a parturient with uncorrected tetralogy of Fallot scheduled to undergo caesarean delivery.