Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
ISSN: 2155-6148
Husodo DP
Indonesia
Research Article
Low Dose Hyperbaric Bupivacaine 5 mg Combined with 50 mcg Fentanyl for Caesarean Section Delivery in Patient with Maternal Heart Disease
Author(s): Husodo DP, Isngadi I, Hartono R and Prasedya ESHusodo DP, Isngadi I, Hartono R and Prasedya ES
Most of women with cardiovascular diseases show worsen clinical condition during pregnancy. That is caused by cardiovascular physiological change during pregnancy and increased demand of oxygen-metabolic system. Spinal anesthesia is the most used technique in section caesaria patient, but there’s worried about using spinal anesthesia in patient with cardiac disease due to sudden hemodynamic decrease. Recent studies have proved hemodynamic changes in spinal anesthesia is dose dependent. Dose decreased of spinal anesthesia have potency of inadequate block and change of maternal-fatal hemodynamic due to pain or uncomforted feeling. It can be prevented by using opiod adjuvant that has good effect in anesthesia block. This is retrospective study in 33 patients with maternal heart disease undergoing CS under low dose spinal anesthesia in Saiful Anwar Hospital Malang Indonesia from Sep.. View More»