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Obstetric
#36378 Low-dose spinal combined epidural: an anesthetic technique for parturients in patients with congenital heart disease
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  1. Rizki Suhadayanti1,
  2. Ruddi Hartono2 and
  3. Isngadi Isngadi3
  1. 1Anesthesiology and Intensive Therapy Specialist Program,, Faculty of Medicine, Brawijaya University, Malang, Indonesia
  2. 2Anesthesiology and Intensive Therapy Specialist Program, Anesthesiologist specialization in Obstetric Anesthesia, Fellow of Cardiac Thoracic anesthesia , Faculty of Medicine, Brawijaya University, Malang, Indonesia
  3. 3Anesthesiology and Intensive Therapy Specialist Program, Anesthesiologist specialization in Obstetric Anesthesia, Faculty of Medicine, Brawijaya University, Malang, Indonesia

Abstract

Please confirm that an ethics committee approval has been applied for or granted: Not relevant (see information at the bottom of this page)

Background and Aims Heart disease in pregnant women can be rheumatic heart disease, cardiomyopathy, and congenital heart disease. A low-dose spinal combined epidural is effective in caesarean delivery with minimal side effects and reasonable outcomes in parturients with cardiac disease. We describe the successful use of a low-dose spinal combined epidural anaesthesia in a parturient with congenital heart disease for Cesarean section.

Methods This report describes the outcomes of each patient who underwent a low-dose spinal combined epidural for anesthesia management in 16 parturients with congenital heart disease treated at RSUD Dr. Saiful Anwar Malang.

Results Sixteen patients with low-dose spinal combined epidural technique (80%) were discharged from the hospital in good condition; three patients who are one patient with PDA and 2 VSD using single shoot low-dose spinal, and five patients with VSD, four patients with PDA, two patients in ASD, one patient with TOF, one patient with PPCM using a low-dose spinal combined epidural.

Conclusions The low-dose spinal combined epidural is a good choice for a parturient with congenital heart disease.

  • caesarean section
  • combined spinal epidural
  • pregnancy
  • Congenital heart disease
  • anaesthetic technique

https://doi.org/10.1136/rapm-2023-ESRA.455

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