Congenital complete heart block and spinal anaesthesia for caesarean section

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Congenital complete heart block and spinal anaesthesia for caesarean section

Congenital complete heart block could be absolutely asymptomatic. Increased awareness of suspecting an atrioventricular heart block in patients with slow heart rate and electrocardiograph examination will ensure recognition of this problem. The possibility of sudden cardiac death in these patients should not be forgotten. The goal in the peri-operative anaesthetic management is to preserve the ...

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Emergent Caesarean section in parturient with congenital complete atrioventricular block

A 26-year-old gravida 2 parity 1, Indonesian migrant to Malaysia presented for her routine antenatal visit at 36 weeks of pregnancy. Ultrasound examination revealed intrauterine growth retardation with an estimated fetal weight of 2 kg, normal biophysical profile, extended breech lie and oligohydramnios with an amniotic fluid index (AFI) of 5.2 (normal AFI 8–18). She was counselled for elective...

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Anaesthesia for caesarean section.

Quality and choice in anaesthesia for caesarean section have significantly improved over the last two decades. During this time, general anaesthesia usage has decreased to the point where, in some centres, it is an occasionally used technique for severe fetal distress. This change in practice may have been responsible for the fall in anaesthetic deaths in pregnant women that has occurred over t...

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Anaesthesia for caesarean section.

Self Assessment Q1 When considering indications and categorisation of caesarean sections: a) Caesarean section caries an overall higher neonatal mortality compared with normal delivery? b) Recommended population caesarean section rates are less than 5%? c) Breech presentations should routinely be booked for a Category 4 caesarean section? d) A category 1 caesarean section should aim to be deliv...

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Sensory testing of spinal anaesthesia for caesarean section: differential block and variability.

BACKGROUND The aim of this study was to determine if sensory block following spinal anaesthesia, measured with a range of devices, corresponded to the hierarchy of nerve fibre size in the area of differential block, and to compare the distribution and variability of recorded measurements. METHODS Women with singleton pregnancies > 36 weeks of gestation undergoing elective caesarean section un...

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ژورنال

عنوان ژورنال: Indian Journal of Anaesthesia

سال: 2012

ISSN: 0019-5049

DOI: 10.4103/0019-5049.93350