Low-dose spinal-epidural anesthesia for Cesarean section in a parturient with uncontrolled hyperthyroidism and thyrotoxic heart disease

被引：6
|
作者：
Liao, Zhimin [1 ,2 ]
Xiong, Yaqin [1 ,2 ]
Luo, Linli [1 ,2 ]
机构：
[1] Sichuan Univ, West China Hosp 2, Dept Anesthesiol, Chengdu 610041, Sichuan, Peoples R China
[2] Minist Educ, Key Lab Obstet Gynecol & Pediat Dis & Birth Defec, Chengdu 610041, Sichuan, Peoples R China
来源：
JOURNAL OF ANESTHESIA | 2016年 / 30卷 / 04期
关键词：
Combined spinal epidural anesthesia; Cesarean section; Hyperthyroidism; Thyrotoxic heart disease; HYDATIDIFORM MOLE; THYROID-DISEASE; PREGNANCY; STORM; PROCOAGULANT; FAILURE; PATIENT;
D O I：
10.1007/s00540-016-2186-1
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
A 29-year-old woman at 34 weeks' gestation with uncontrolled hyperthyroidism and thyrotoxic heart disease was admitted to urgency Cesarean section. After preoperative sedation and good communication, low-dose spinal anesthesia (7.5 mg 0.5 % bupivacaine) combined with epidural anesthesia (6 ml 2 % lidocaine) was performed through L3-4 inter-vertebral. Opioids were given intravenously to the mother for sedation after delivery of the baby. Satisfactory anesthesia and sedation was provided during surgery. The mother and the neonate were safe and no special complication was found after surgery. Our case demonstrated that low-dose spinal anesthesia combined with epidural anesthesia with intravenous opioids can provide satisfactory anesthesia and sedation, and reduce the risk of heart failure and thyroid storm.
引用
收藏
页码：731 / 734
页数：4
相关论文
共 50 条
  • [1] Low-dose spinal–epidural anesthesia for Cesarean section in a parturient with uncontrolled hyperthyroidism and thyrotoxic heart disease
    Zhimin Liao
    Yaqin Xiong
    Linli Luo
    [J]. Journal of Anesthesia, 2016, 30 : 731 - 734
  • [2] LOW-DOSE SPINAL-ANESTHESIA FOR CESAREAN-SECTION USING COMBINED SPINAL-EPIDURAL (CSE) TECHNIQUE
    SWAMI, A
    MCHALE, S
    ABBOTT, P
    MORGAN, B
    [J]. ANESTHESIA AND ANALGESIA, 1993, 76 (02): : S423 - S423
  • [3] A randomized trial comparing low-dose combined spinal-epidural anesthesia and conventional epidural anesthesia for cesarean section in severe preeclampsia
    Berends, N.
    Teunkens, A.
    Vandermeersch, E.
    Van de Velde, M.
    [J]. ACTA ANAESTHESIOLOGICA BELGICA, 2005, 56 (02) : 155 - 162
  • [4] Combined spinal and epidural anesthesia for cesarean section in a parturient with moyamoya disease
    Abouleish, E
    Wiggins, M
    Ali, V
    [J]. ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1998, 42 (09) : 1120 - 1123
  • [5] Combined low-dose spinal-epidural anesthesia versus single-shot spinal anesthesia for elective cesarean delivery
    Choi, DH
    Ahn, HJ
    Kim, JA
    [J]. INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, 2006, 15 (01) : 13 - 17
  • [6] Combined spinal-epidural for emergency cesarean section in a multiparous parturient with achondroplasia
    Lye, Siyu
    Sze, Phui
    Yong, Au
    [J]. JOURNAL OF OBSTETRIC ANAESTHESIA AND CRITICAL CARE, 2022, 12 (02) : 167 - 169
  • [7] Combined spinal-epidural anesthesia with very low dose hyperbaric levobupivacaine for cesarean section in a preeclamptic patient
    Guasch, E.
    Dominguez, A.
    Alsina, E.
    Gilsanz, F.
    [J]. INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, 2007, 16 (01) : 91 - 93
  • [8] Combined spinal-epidural anesthesia for urgent cesarean section in a parturient with a single ventricle -a case report-
    Catarci, Stefano
    Sbaraglia, Fabio
    Zanfini, Bruno Antonio
    Vagnoni, Salvatore
    Frassanito, Luciano
    Draisci, Gaetano
    [J]. KOREAN JOURNAL OF ANESTHESIOLOGY, 2016, 69 (06) : 632 - 634
  • [9] Low-dose combined spinal-epidural anesthesia for Cesarean delivery : a comparison of three plain local anesthetics
    Coppejans, H. C.
    Vercauteren, M. P.
    [J]. ACTA ANAESTHESIOLOGICA BELGICA, 2006, 57 (01)
  • [10] Ultra low dose combined spinal and epidural anesthesia for cesarean section
    Lim, Y
    Loo, CC
    Goh, E
    [J]. INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA, 2004, 13 (03) : 198 - 200
12345