Abstract
Critical obstetric cases associated with cardiac pathology may pose real challenge for anaesthesiologist during Caesarean section. Meticulous perioperative care and suitable selection of anaesthesia technique are the key to successful outcome. Single shot spinal anaesthesia is not used any more because of serious haemodynamic consequence. Progressive and controlled epidural local anaesthetic injection is mostly used in such cases. But recently combined spinal epidural anaesthesia and continuous spinal anaesthesia are suggested due to better precise control of haemodynamics and quicker onset. However, institution of such complex technique may require time which may not be feasible in emergency situations. Use of bilateral ilioinguinal-iliohypogastric nerve block along with low dose spinal anaesthesia may obviate the need of additional epidural catheter in such complicated cases. We hereby present our experience from two cases.
Original language | English |
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Pages (from-to) | 163-167 |
Number of pages | 5 |
Journal | Acta Anaesthesiologica Belgica |
Volume | 64 |
Issue number | 4 |
Publication status | Published - 2013 |
Keywords
- Caesarean section
- High risk obstetric cases
- Low dose spinal anaesthesia
- Ultrasound guided ilioinguinal-iliohypogastric nerve block
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine