Open Access Open Access  Restricted Access Subscription Access

Anesthetic Management of a Patient with Eisenmenger's Syndrome for Caesarean Section


Affiliations
1 Himalayan Institute of Medical Sciences, SRHU, Swami Ram Nagar, Dehradun, India
 

The Eisenmenger's syndrome is presented with an abnormal communication between the systemic and pulmonary circulations and a predominant right to left shunt caused by increased vascular resistance in the pulmonary circulation. We report a successful anesthetic management of a patient with the Eisenmenger's syndrome who underwent emergency cesarean section under general anesthesia.

Keywords

Eisenmenger Complex, Pregnancy.
User
Notifications
Font Size

  • Lyons B, Motherway C, Casey W, Doherty P. The anaesthetic management of the child with Eisenmenger’s syndrome. Can J Anaesth. 1995; 42:904–9. https://doi.org/10.1007/BF03011038 PMid:8706200.
  • Puri GD, Pradhan A, Kumar B, Hegde HV, Singh A, Prasad GR. Anaesthetic management of a patient with Eisenmenger syndrome for lower abdominal surgery. Trends Anaesth Crit Care. 2011; 1:51–3. https://doi.org/10.1016/j.tacc.2010.10.001.
  • Bala R, Pirkad A, Saini S, Banerjee A. Anesthetic management of a patient with Eisenmenger syndrome: What next when one technique fails? Anaesth Pain and Intensive Care. 2016; 20:327–9.
  • Cole PJ, Cross MH, Dresner M. Incremental spinal anaesthesia for elective Caesarean section in a patient with Eisenmenger’s syndrome. Br J Anaesth. 2001; 86:723–6. https://doi.org/10.1093/bja/86.5.723 PMid:11575352.
  • Fang G, Tian YK, Mei W. Anesthetic management of cesarean section in two patients with Eisenmenger syndrome. Anesthesiology research and practice. 2011; 1–4. https://doi.org/10.1155/2011/972671 PMid:21961000 PMCid:PMC3180075.
  • Joyce JA. Update for anesthetists. Eisenmenger syndrome: An anesthetic conundrum. AANA J. 2006; 74:233–9. PMid:16786918.
  • Khaw KS, Wang CC, Kee WDN, Tam WH, Ng FF, Critchley LAH, et al. Supplementary oxygen for emergency Caesarean section under regional anaesthesia. BJA. 2009; 02:90–6. https://doi.org/10.1093/bja/ aen321 PMid:19011261.
  • Yuan SM. Eisenmenger syndrome in pregnancy. Braz J Cardiovasc Surg. 2016; 31:325–9. https://doi.org/10.5935/1678-9741.20160062.
  • Parneix M, Fanou L, Moran E, Colson P. Low-dose combined spinal-epidural anaesthesia for caesarean section in a patient with Eisenmenger’s syndrome. International Journal of Obstetric Anesthesia. 2009; 18:81– 4. https://doi.org/10.1016/j.ijoa.2008.08.003 PMid:19046874.

Abstract Views: 308

PDF Views: 90




  • Anesthetic Management of a Patient with Eisenmenger's Syndrome for Caesarean Section

Abstract Views: 308  |  PDF Views: 90

Authors

Parul Jindal
Himalayan Institute of Medical Sciences, SRHU, Swami Ram Nagar, Dehradun, India
Gurjeet Khurana
Himalayan Institute of Medical Sciences, SRHU, Swami Ram Nagar, Dehradun, India
Sumit Grover
Himalayan Institute of Medical Sciences, SRHU, Swami Ram Nagar, Dehradun, India

Abstract


The Eisenmenger's syndrome is presented with an abnormal communication between the systemic and pulmonary circulations and a predominant right to left shunt caused by increased vascular resistance in the pulmonary circulation. We report a successful anesthetic management of a patient with the Eisenmenger's syndrome who underwent emergency cesarean section under general anesthesia.

Keywords


Eisenmenger Complex, Pregnancy.

References