Anaesthetic management of a parturient with complete heart block for emergency caesarean section

Authors

  • R. M. Tambey Associate Professor, Department Department of Anaesthesiology, Government Medical College, Nagpur, Maharashtra 440003
  • B. M. Gadpale Assistant Professor, Department Department of Anaesthesiology, Government Medical College, Nagpur, Maharashtra 440003
  • N. G. Tirpude Professor & Head of Department, Department of Anaesthesiology, Government Medical College, Nagpur, Maharashtra 440003

DOI:

https://doi.org/10.7439/ijbar.v10i3.5121

Keywords:

Complete heart block, Isoprenaline, General anaesthesia, Caesarean section

Abstract

Management of patient with complete heart block (CHB) presenting for emergency caesarean section warrants preservation of heart rate to maintain haemodynamic stability. Sudden cardiac death and congestive heart failure are known sequelae because of slow heart rate caused by complete heart block. Role of temporary pacing is debatable for labor and delivery in asymptomatic patients. However in absence of pacemaker, Isoprenaline with general anaesthesia can be safely employed when chronotropic response to atropine is observed in these patients.

Downloads

Downloads

Published

2019-03-17

Issue

Section

Case Report

How to Cite

Anaesthetic management of a parturient with complete heart block for emergency caesarean section. (2019). International Journal of Biomedical and Advance Research, 10(3), e5121. https://doi.org/10.7439/ijbar.v10i3.5121