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Low-dose spinal-epidural anesthesia for Cesarean section in a parturient with uncontrolled hyperthyroidism and thyrotoxic heart disease.
J Anesth. 2016 08; 30(4):731-4.JA

Abstract

A 29-year-old woman at 34 weeks' gestation with uncontrolled hyperthyroidism and thyrotoxic heart disease was admitted to urgency Cesarean section. After preoperative sedation and good communication, low-dose spinal anesthesia (7.5 mg 0.5 % bupivacaine) combined with epidural anesthesia (6 ml 2 % lidocaine) was performed through L3-4 inter-vertebral. Opioids were given intravenously to the mother for sedation after delivery of the baby. Satisfactory anesthesia and sedation was provided during surgery. The mother and the neonate were safe and no special complication was found after surgery. Our case demonstrated that low-dose spinal anesthesia combined with epidural anesthesia with intravenous opioids can provide satisfactory anesthesia and sedation, and reduce the risk of heart failure and thyroid storm.

Authors+Show Affiliations

Department of Anesthesiology, West China Second Hospital, Sichuan University, Chengdu, 610041, Sichuan, People's Republic of China. Key Laboratory of Obstetric Gynecologic and Pediatric Diseases and Birth Defects, Ministry of Education, Chengdu, 610041, Sichuan, People's Republic of China.Department of Anesthesiology, West China Second Hospital, Sichuan University, Chengdu, 610041, Sichuan, People's Republic of China. Key Laboratory of Obstetric Gynecologic and Pediatric Diseases and Birth Defects, Ministry of Education, Chengdu, 610041, Sichuan, People's Republic of China.Department of Anesthesiology, West China Second Hospital, Sichuan University, Chengdu, 610041, Sichuan, People's Republic of China. linli-luo@163.com. Key Laboratory of Obstetric Gynecologic and Pediatric Diseases and Birth Defects, Ministry of Education, Chengdu, 610041, Sichuan, People's Republic of China. linli-luo@163.com.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

27216206

Citation

Liao, Zhimin, et al. "Low-dose Spinal-epidural Anesthesia for Cesarean Section in a Parturient With Uncontrolled Hyperthyroidism and Thyrotoxic Heart Disease." Journal of Anesthesia, vol. 30, no. 4, 2016, pp. 731-4.
Liao Z, Xiong Y, Luo L. Low-dose spinal-epidural anesthesia for Cesarean section in a parturient with uncontrolled hyperthyroidism and thyrotoxic heart disease. J Anesth. 2016;30(4):731-4.
Liao, Z., Xiong, Y., & Luo, L. (2016). Low-dose spinal-epidural anesthesia for Cesarean section in a parturient with uncontrolled hyperthyroidism and thyrotoxic heart disease. Journal of Anesthesia, 30(4), 731-4. https://doi.org/10.1007/s00540-016-2186-1
Liao Z, Xiong Y, Luo L. Low-dose Spinal-epidural Anesthesia for Cesarean Section in a Parturient With Uncontrolled Hyperthyroidism and Thyrotoxic Heart Disease. J Anesth. 2016;30(4):731-4. PubMed PMID: 27216206.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Low-dose spinal-epidural anesthesia for Cesarean section in a parturient with uncontrolled hyperthyroidism and thyrotoxic heart disease. AU - Liao,Zhimin, AU - Xiong,Yaqin, AU - Luo,Linli, Y1 - 2016/05/23/ PY - 2015/11/04/received PY - 2016/05/04/accepted PY - 2016/5/25/entrez PY - 2016/5/25/pubmed PY - 2017/6/18/medline KW - Cesarean section KW - Combined spinal epidural anesthesia KW - Hyperthyroidism KW - Thyrotoxic heart disease SP - 731 EP - 4 JF - Journal of anesthesia JO - J Anesth VL - 30 IS - 4 N2 - A 29-year-old woman at 34 weeks' gestation with uncontrolled hyperthyroidism and thyrotoxic heart disease was admitted to urgency Cesarean section. After preoperative sedation and good communication, low-dose spinal anesthesia (7.5 mg 0.5 % bupivacaine) combined with epidural anesthesia (6 ml 2 % lidocaine) was performed through L3-4 inter-vertebral. Opioids were given intravenously to the mother for sedation after delivery of the baby. Satisfactory anesthesia and sedation was provided during surgery. The mother and the neonate were safe and no special complication was found after surgery. Our case demonstrated that low-dose spinal anesthesia combined with epidural anesthesia with intravenous opioids can provide satisfactory anesthesia and sedation, and reduce the risk of heart failure and thyroid storm. SN - 1438-8359 UR - https://www.unboundmedicine.com/medline/citation/27216206/Low_dose_spinal_epidural_anesthesia_for_Cesarean_section_in_a_parturient_with_uncontrolled_hyperthyroidism_and_thyrotoxic_heart_disease_ L2 - https://dx.doi.org/10.1007/s00540-016-2186-1 DB - PRIME DP - Unbound Medicine ER -