Neuraxial anaesthesia for lower segment caesarean section in three parturients with uncorrected tetralogy of Fallot.
Kirtika Yadav, Shashank Kumar, Shreya Rastogi et al.
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Case in brief
Three parturients with uncorrected tetralogy of Fallot underwent lower segment caesarean sections using a combined low-dose spinal and epidural anaesthetic technique. This approach provided adequate surgical anaesthesia while maintaining stable haemodynamics, thus avoiding the need for general anaesthesia, which poses higher risks in this population.
Diagnostic / clinical pearl
Clinicians should consider low-dose spinal and epidural anaesthesia as a viable option for parturients with uncorrected tetralogy of Fallot to minimize risks associated with general anaesthesia.