Low-dose spinal-epidural anesthesia for Cesarean section in a parturient with uncontrolled hyperthyroidism and thyrotoxic heart disease

被引：6

作者：

Liao, Zhimin ^{[1
,2
]}

Xiong, Yaqin ^{[1
,2
]}

Luo, Linli ^{[1
,2
]}

机构：

[1] Sichuan Univ, West China Hosp 2, Dept Anesthesiol, Chengdu 610041, Sichuan, Peoples R China

[2] Minist Educ, Key Lab Obstet Gynecol & Pediat Dis & Birth Defec, Chengdu 610041, Sichuan, Peoples R China

来源：

JOURNAL OF ANESTHESIA | 2016年 / 30卷 / 04期

关键词：

Combined spinal epidural anesthesia; Cesarean section; Hyperthyroidism; Thyrotoxic heart disease; HYDATIDIFORM MOLE; THYROID-DISEASE; PREGNANCY; STORM; PROCOAGULANT; FAILURE; PATIENT;

D O I：

10.1007/s00540-016-2186-1

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

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.

引用

页码：731 / 734

页数：4

共 15 条

[1]

Carney LA, 2014, AM FAM PHYSICIAN, V89, P273

[2] High levels of procoagulant factors mediate the association between free thyroxine and the risk of venous thrombosis: the MEGA study [J].