Multiple anesthetics during the course of a single pregnancy and post partum period
Abstract Number: 119
Abstract Type: Case Report/Case Series
This poster will describe our unique experience with providing anesthesia care to a young pregnant woman multiple times during the same pregnancy.
We were approached by cardiology to provide a short general anesthetic for cardioversion of symptomatic supraventricular tachycardia that had been resistant to medical treatment. We will summarize here the important issues that anesthesiologists need to address in delivering a safe anesthetic to a patient with an early pregnancy. We will also touch upon the impact of the drugs used and their effects on the developing fetus. We will attempt to review literature regarding the effect of electrical cardioversion on the fetus.
At around term pregnancy, she returned to our L&D in labor and requested labor analgesia. She continued to be in supraventricular tachycardia at that time. We will discuss in detail the anesthetic considerations for delivering effective labor analgesia as well as our plan for surgical anesthesia if that indeed became a necessity.
After her delivery our patient underwent Radio frequency ablation in our Cardiac Electrophysiology Lab. for her continued tachycardia and we were called upon to deliver her general anesthetic for the procedure. We will discuss our role in her care during her EP Lab procedure.
Our poster will include a brief literature review of situations that we encountered at each stage of our interaction with this young primigravida.