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Chapter 58 - Other Obstetrical Complications

from Section 6 - Obstetric Anesthesia

Published online by Cambridge University Press:  03 August 2023

By
Monica Cheriyan  and
Jessica A. Lovich-Sapola
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 25-year-old female, G2P1, in labor has a cervix dilated to 6 cm. You have placed an epidural and are verifying the level when the obstetrical resident comes in to rupture the patient’s membranes. Upon rupture, the fetal heart rate drops suddenly. The obstetrical resident notes that she can now feel the umbilical cord. What is the diagnosis? What is your anesthetic plan for this emergent cesarean section?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 249 - 253
Publisher: Cambridge University Press
Print publication year: 2023

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References

Chestnut, DH. Obstetric Anesthesia: Principles and Practice, 3rd ed. Philadelphia: Mosby, 2004, pp. 119, 662–76.Google Scholar
Copper, PL, Otto, MP, Leighton, BL. Successful management of cardiac arrest from amniotic flid embolism with ondansetron, metoclopramide, atropine, and ketorolac: a case report. Paper presented at SOAP 2013.Google Scholar
Erol, DD, Cevryoglu, AS, Uslan, I. Preoperative preparation and general anesthesia administration with sevoflurane in a patient who develops thyrotoxicosis and cardiogenic dysfunction due to a hydatidiform mole. Internet J Anesthesiol 2004;8(1).Google Scholar
Gabbe, SG, Niebyl, JR, Simpson, JL. Obstetrics: Normal and Problem Pregnancies, 5th ed. Philadelphia: Churchill Livingston & Elsevier, 2007, chapters 15, 18.Google Scholar
Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, pp. 2006–41.Google Scholar
Katz, VL, Lentz, GM, Lobo, RA, et al. Comprehensive Gynecology, 5th ed. Philadelphia: Mosby Elsevier, 2007, chapter 35.Google Scholar

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