Shahla Siddiqui1, Naveed Latif. 1. Department of Anaesthesia, Aga Khan University, Karachi, Pakistan. shahla.siddiqui@aku.edu
Abstract
INTRODUCTION: Eisenmenger's syndrome in pregnancy can lead to death in 50% to 65% of parturients. Expensive invasive monitoring and medication have improved management and outcomes. Cheaper alternatives for the management of high-risk patients who present with no prenatal care are still not available. CASE PRESENTATION: We describe the obstetric anaesthesia management of a 34-year-old, 34-weeks pregnant woman who presented with a recent diagnosis of severe Eisenmenger's syndrome. A combined spinal epidural anaesthesia was used together with invasive cardiac monitoring as well as PGE1 nebulisation after delivery of the baby. This helped achieve a reduction of shunt, improvement of hypoxia and reduction of pulmonary pressures. CONCLUSION: We found this to be a cheaper and safe alternative in the management of such patients who present with no adequate prior management.
INTRODUCTION:Eisenmenger's syndrome in pregnancy can lead to death in 50% to 65% of parturients. Expensive invasive monitoring and medication have improved management and outcomes. Cheaper alternatives for the management of high-risk patients who present with no prenatal care are still not available. CASE PRESENTATION: We describe the obstetric anaesthesia management of a 34-year-old, 34-weeks pregnant woman who presented with a recent diagnosis of severe Eisenmenger's syndrome. A combined spinal epidural anaesthesia was used together with invasive cardiac monitoring as well as PGE1 nebulisation after delivery of the baby. This helped achieve a reduction of shunt, improvement of hypoxia and reduction of pulmonary pressures. CONCLUSION: We found this to be a cheaper and safe alternative in the management of such patients who present with no adequate prior management.
Authors: Wolfgang von Scheidt; Angelika Costard-Jaeckle; Hans Ulrich Stempfle; Mario C Deng; Bernhard Schwaab; Bernd Haaff; Herbert Naegele; Paul Mohacsi; Michael Trautnitz Journal: J Heart Lung Transplant Date: 2006-07-18 Impact factor: 10.247