MGM Journal of Medical Sciences

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VOLUME 6 , ISSUE 2 ( April-June, 2019 ) > List of Articles

CASE REPORT

Anesthetic Management in a Parturient with Complete Heart Block Posted for Emergency Uterine Evacuation: A Case Report

Aaditya A Prabhudesai, Kasturi H Bandyopadhyay, Chumki A Datta, Shilpita Banerjee

Keywords : Bronchospasm, Complete heart block, IUFD, Pregnancy

Citation Information : Prabhudesai AA, Bandyopadhyay KH, Datta CA, Banerjee S. Anesthetic Management in a Parturient with Complete Heart Block Posted for Emergency Uterine Evacuation: A Case Report. MGM J Med Sci 2019; 6 (2):98-100.

DOI: 10.5005/jp-journals-10036-1241

License: CC BY-NC 4.0

Published Online: 01-10-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

A 34-year-old lady in the 19th week of gestation was referred for emergency evacuation of products of conception, following intrauterine fetal death and persistent vaginal bleeding. She was suffering from complete heart block with a heart rate of 42 beats per minute. A temporary pacemaker was implanted and she was taken up for surgery. She developed an acute bronchospasm just before induction of anesthesia, which was successfully managed, without delaying the operative procedure. Her anesthetic management is discussed in detail in this paper. She was discharged on the 8th postoperative day after implanting a permanent pacemaker. Cause of her complete heart block was found to be systemic lupus erythematosus.


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