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Supraventricular Tachycardia in a Parturient Under Spinal Anesthesia
  1. Noor M. Gajraj, M.B.B.S., F.R.C.A.*,
  2. Nicholas A. Pace, M.B., Ch.B., F.R.C.A., M.R.C.P. and
  3. Donald H. Wallace, M.D.
  1. From the Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas.
  2. *Visiting Assistant Professor
  3. Associate Professor
  4. Visiting Assistant Professor
  1. Address correspondence and reprint requests to Noor M. Gajraj, M.B., B.S., F.R.C.A., Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75235-9068.

Abstract

Background and Methods. A 30-year-old woman with a history of palpitations was admitted for a repeat cesarean delivery at 41 weeks' gestation. Spinal anesthesia was administered.

Results. Supraventricular tachycardia and hypotension developed in the patient and were treated with boluses of ephedrine and phenylephrine.

Conclusion. Phenylephrine may be used successfully for the treatment of SVT that results in hypotension under spinal anesthesia, and it may have advantages over ephedrine.

  • Anesthetic techniques
  • regional
  • spinal
  • complications
  • hypotension
  • heart
  • supraventricular tachycardia.

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Footnotes

  • The authors thank Dr. Mark D. Johnson for his comments regarding this manuscript.

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