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

  • 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
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.

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Published
2019-03-17
How to Cite
Tambey, R., Gadpale, B., & Tirpude, N. (2019). Anaesthetic management of a parturient with complete heart block for emergency caesarean section. International Journal of Biomedical and Advance Research, 10(3), e5121. https://doi.org/10.7439/ijbar.v10i3.5121
Section
Case Report