Case Report on Cardiac Arrest Under Spinal Anesthesia in a Case of Caesarean Section

Sumia Bari, Aminul Islam, Md Rafiqul Hasan Khan, SN Samad Chowdhury
2008 Journal of the Bangladesh Society of Anaesthesiologists  
<p>A 33 years old multiparous woman was admitted in Dhaka National Medical Institute Hospital with the complaints of 37 weeks pregnancy and less fetal movement. She was a known case of DM &amp; had a previous history of caesarean section. She had under gone an emergency caesarean section under spinal anesthesia. Patient developed sudden severe hypotension with respiratory distress within 3-4 minutes after the anesthetic procedure, while she was in supine position. Subsequently she developed
more » ... y she developed cardiac arrest. She was managed by cardiopulmonary resuscitation which included prompt tracheal intubation, ventilation with 100% oxygen, cardiac message &amp; ionotropic drug. Cardiac arrest was revived. The operation was completed under general anaesthesia &amp; was reversed uneventful. She was kept in CCU under close monitoring. The patient was discharged on her 7th postoperative day with a healthy baby and a healthy physical status.</p> <p><strong>Key words: </strong>Cardiac arrest, Spinal anaesthesia, Supine hypotensive syndrome.</p> <p>Journal of BSA, Vol. 19, No. 1 &amp; 2, 2006 p.54-56</p>
doi:10.3329/jbsa.v19i1.4028 fatcat:vvwiq6dwena6npsiicjhdpjwty