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ANESTHESIA MANAGEMENT IN CESAREAN SECTION WITH MAJOR ARRANESTHESIA MANAGEMENT IN CESAREAN SECTION WITH MAJOR ARRHYTMIA AND MORBID OBESEHYTMIA AND MORBID OBESE

Lalenoh, Diana Christine and Lalenoh, Hermanus J. and Bisri, Tatang ANESTHESIA MANAGEMENT IN CESAREAN SECTION WITH MAJOR ARRANESTHESIA MANAGEMENT IN CESAREAN SECTION WITH MAJOR ARRHYTMIA AND MORBID OBESEHYTMIA AND MORBID OBESE. 2nd ANNUAL SYMPOSIUM ON ANESTHESIA COMPLlCATIONS.

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        Abstract

        Background During pregnancy there is an increased incidence of both benign arrhythmias and arrhythmias associated with cardiac disease. If the abnormal rhythm causes haemodynamic i-nst~bility, there is potential for fetal compromise and treatment should be institutes. Objective The purpose of this case report is to summarize some strategies for cesarean section patient with major arrhyrhmia-ventricular premature contractions-with bigemini, trigemini, and RonT. Case Report Here we report a morbid obese female, 27 years old, with aterm gestational age, which is underwent cesarean section because of breech presentation in labour. Patient is 101 kgs bodywieght, 150 cm of height, blood pressure is 180/101 mmHg, heart rate is 103 times/ minute, respiration rate 20 times/minute, diagno?e with major arrhythmia. Mter give binasal oxygen 2 litres/minute and intravenous lidocaine, we performed spinal anesthesia. During surgery, blood pressure range from 92-138/50-94 mmHg, heart rate from 88-105 times/minute. Mter surgery, patient was transferred to ICD for one day, after that she transferred to the ward. Discussion We care the balance of oxygen demand and consumption, 'with morbid obese condition,we kept the oxygenation adequate, do not hypoxia and hypercarbia. We choose the spinal anesthesia techniques with slight anxiolityc after delivery. The mother and and baby outcome is good. Conclusions Correct anesthesia management during cesarean section perioperative with major arrhythmia is based on an understanding of the mechanism that caused the arrhythmia. It may not only be lifesaving for the mother but may also play an important role for the fetus.

        Item Type: Article
        Subjects: R Medicine > R Medicine (General)
        Divisions: UNSPECIFIED
        Depositing User: Mr. Benhard W. Tampangela, ST
        Date Deposited: 18 May 2015 10:26
        Last Modified: 23 Sep 2015 14:10
        URI: http://repo.unsrat.ac.id/id/eprint/808

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