Case Report
Year: 2021 | Month: July-September | Volume: 6 | Issue: 3 | Pages: 278-280
DOI: https://doi.org/10.52403/ijshr.20210748
Anaesthetic Management of a Case of Pregnancy with Rheumatic Heart Disease
Shallu Chaudhary1, Neha Atwal2
1Medical Officer, Health & Family Welfare Department, Himachal Pradesh, India.
2Junior Resident, Department of Anaesthesiology, IGMC Shimla, Himachal Pradesh, India.
Corresponding Author: Neha Atwal
ABSTRACT
We present a case report of a 28 year old pregnant female with moderate mitral stenosis who was posted for emergency caesarean section. The patient was given low dose subarachnoid block with injection bupivacaine (H) 7.5 mg and injection fentanyl 20 micrograms. Adequate intraoperative monitoring, optimum sedation, analgesia, oxygenation was done. Judicious use of intravenous fluids was considered. The patient maintained smooth intraoperative vitals. Postoperatively also the patient was monitored in the ICU and adequate analgesia was provided.
Keywords: Rheumatic Heart Disease, Anaesthetic Management, Pregnancy, Mitral stenosis of rheumatic origin