Chest ultrasonography in emergency Cesarean delivery in multi-valvular heart disease with pulmonary edema during spinal anesthesia.

Abstract:

:Valvular heart disease in a parturient presenting for Cesarean section is challenging. A 25 year old primigravida parturient with severe mitral stenosis, mild mitral regurgitation, mild aortic regurgitation, and mild pulmonary arterial hypertension required Cesarean delivery after developing pulmonary edema. Low-dose spinal with hyperbaric bupivacine 0.5% 1.8 mL plus 25 μg of fentanyl was used for anesthesia. Chest ultrasonography (US) and transthoracic echocardiography (TTE) were used for monitoring purposes. Spinal-induced preload reduction improved the pulmonary edema, as evidenced by chest US. Chest US and TTE helped in fluid management.

journal_name

J Clin Anesth

authors

Samanta S,Samanta S,Ghatak T,Grover VK

doi

10.1016/j.jclinane.2013.12.009

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

235-7

issue

3

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(14)00045-2

journal_volume

26

pub_type

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