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1/2. Anaesthesia for caesarean section in a patient with wolff-parkinson-white syndrome.

    The anaesthetic management is described of a patient with wolff-parkinson-white syndrome who had to undergo caesarean section due to failed induction of labour. Spinal anaesthesia with hyperbaric nupercaine was given. The main problem encountered during anaesthetic management was repeated attacks of supraventricular tachycardia which were primarily due to anxiety or occurred during pharmacological intervention with oxytocics.
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ranking = 1
keywords = anaesthesia
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2/2. Anaesthesia for caesarean section in a patient receiving high dose amiodarone for fetal supraventricular tachycardia.

    We report the anaesthetic management of a Caesarean section in a woman treated with high dose amiodarone for fetal supraventricular tachycardia. Most of the interactions between anaesthesia and amiodarone therapy previously reported were observed during general anaesthesia. We therefore chose epidural anaesthesia using incremental doses of lignocaine 2% with adrenaline and fentanyl. This technique appeared to be safe, but since severe refractory vasodilation with hypotension may occur, potent vasopressor agents should be immediately available.
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ranking = 3
keywords = anaesthesia
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