Anaesthetic management of a case of atrial septal defect with mild pulmonary hypertension with bronchial asthma coming for emergency LSCS
Abstract
ASD one of the most common acyanotic congenital heart disease in women of child bearing age and pregnancy, it accounts for about 10% of all congenital heart disease. During pregnancy ASD is usually well tolerated. Bronchial asthma can complicate 1-7% of pregnancies. Uncontrolled asthma may produce serious maternal and fetal complications like PAH, fetal hypoxemia. These patients are considered to have high risk for anaesthesia due to increased perioperative cardiovascular and pulmonary complications. During anaesthesia our objectives are to avoid hypotension, hypoxemia, reversal of shunt and fluid overload.
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References
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