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Combination of low-dose spinal anesthesia and epidural anesthesia as anesthetic management in patient with uncorrected Double Outlet Right Ventricle (DORV) underwent cesarean section


Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Brawijaya University- Dr. Saiful Anwar General Hospital, Malang, Indonesia

Correspondence Address:
Ruddi Hartono
Department of Anesthesiology and Intensive Therapy, Faculty of Medicine Brawijaya University/Dr. Saiful Anwar General Hospital, Jl. Jaksa Agung Suprapto No.2, Malang, East Java
Indonesia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.aca_315_20

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Year : 2022  |  Volume : 25  |  Issue : 4  |  Page : 518-521

 

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Pregnant patients with uncorrected Double Outlet Right Ventricle (DORV) undergoing cesarean section are challenging for anesthesiologists. We present a case of a 24-year-old woman with a gestational age of 30–32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation.






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Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Brawijaya University- Dr. Saiful Anwar General Hospital, Malang, Indonesia

Correspondence Address:
Ruddi Hartono
Department of Anesthesiology and Intensive Therapy, Faculty of Medicine Brawijaya University/Dr. Saiful Anwar General Hospital, Jl. Jaksa Agung Suprapto No.2, Malang, East Java
Indonesia
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.aca_315_20

Rights and Permissions

Pregnant patients with uncorrected Double Outlet Right Ventricle (DORV) undergoing cesarean section are challenging for anesthesiologists. We present a case of a 24-year-old woman with a gestational age of 30–32 weeks with DORV, ventricular septal defect, pulmonary hypertension, and stage C functional class III heart failure who was successfully managed using a combination of low-dose spinal anesthesia bupivacaine 0.5% 7.5 mg with adjuvant fentanyl 50 mcg and epidural ropivacaine 0.2%, and fentanyl 50 mcg TV 10 cc given 30 minutes after the birth of her baby. Hemodynamics was stable after low-dose spinal anesthesia and until the end of the operation.






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