Spinal Anesthesia for Cesarean Delivery of a Pulmonary Arterial Hypertension Parturient; A Case Report

Abstract

Anesthesia for parturients with pulmonary arterial hypertension (PAH) is challenging. Successful management of anesthesia in PAH parturients during labor requires an interdisciplinary approach and a multidisciplinary team. During parturition, neuraxial anesthesia can be a safe and reasonable choice in this group of patients. Choosing the safest anesthesia method is always a challenge in this scenario. In a case report study, the current researchers used management of anesthesia with neuraxial block and preserving afterload and meticulous control of pulmonary hypertension.

To Stay Safe Walking, Follow the Rules of the Road: Anesthesia for Cesarean Section in the Setting of Myocardial Infarction, a Case Report

“…Epidural anesthesia with the least hemodynamic perturbations can be performed safely after the transient suspension of anticoagulants, which is necessary to manage AMI (8). Alternatively, spinal anesthesia with a low dose of bupivacaine and a minimal dose of intrathecal opioid can provide a stable hemodynamic condition for this purpose (9)(10)(11).In the present study, the emergent situation did not let us stop blood diluent medications and perform the neuraxial block. However, careful hemodynamic monitoring can help anesthesia providers stay safe walking in daily routine practice.…”