Use of a Combined Anaesthetic Technique and Minimally Invasive Hemodynamic Monitoring in a Primigravid with Uncorrected Tetralogy of Fallot for Caesarean Section

Authors

  • Lauren L. Laforteza Department of Anesthesiology, Philippine General Hospital, University of the Philippines Manila
  • Maria Teresita B. Aspi Department of Anesthesiology, Philippine General Hospital, University of the Philippines Manila

DOI:

https://doi.org/10.47895/amp.v56i18.5653

Keywords:

Tetralogy of Fallot, pregnancy, general anaesthesia, remifentanil, epidural anaesthesia

Abstract

Tetralogy of Fallot (TOF) in pregnancy is a rare occurrence which poses a high risk for detrimental effects on both
mother and fetus. This paper reports a 21-year-old primigravid diagnosed with uncorrected TOF who had a successful caesarean section at 32 weeks of gestation. To address the hemodynamic challenges, the anaesthetic management involved the use of a minimally invasive hemodynamic monitor, controlled mechanical ventilation and a combined technique of intravenous anaesthesia using remifentanil and lumbar epidural anaesthesia using levobupivacaine.

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Published

2022-10-12

Issue

Vol. 56 No. 18 (2022): Anesthesiology Issue

Section

Articles

How to Cite

1.
Use of a Combined Anaesthetic Technique and Minimally Invasive Hemodynamic Monitoring in a Primigravid with Uncorrected Tetralogy of Fallot for Caesarean Section . Acta Med Philipp [Internet]. 2022 Oct. 12 [cited 2025 Apr. 7];56(18). Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/5653