Osazuwa M O
Department of Anaesthesia, University of Benin Teaching Hospital, PMB 1111, Benin City, Edo State, Nigeria.
West Afr J Med. 2013 Apr-Jun;32(2):145-8.
Spinal anaesthesia is regarded safe for caesarean section. Serious complications resulting from spinal anaesthesia such as cardiac arrest are often times considered rare. This is a case of a 27 year old un-booked gravida1 who was scheduled for emergency caesarean section on account of cephalo-pelvic disproportion (CPD) with associated history of prolonged labour. The patient was preloaded with normal saline one hour before subarachnoid block (SAB) was established and suffered a cardiac arrest immediately after establishing SAB. She was successfully resuscitated using chest compressions, adrenaline and oxygen and a live baby was delivered during cardiopulmonary resuscitation (CPR). The patient developed seizures in the immediate postoperative period. She was treated with an anti-epileptic drug and was also mechanically ventilated. She also developed features of puerperal psychosis and was managed with anti-psychotics. The patient was on admission in the intensive care unit for four days and she made quick recovery with no apparent residual damage.
脊髓麻醉被认为对剖宫产是安全的。脊髓麻醉导致的严重并发症，如心脏骤停，通常被认为很罕见。这是一例27岁未预约的初产妇，因头盆不称（CPD）并伴有产程延长史而计划进行急诊剖宫产。在蛛网膜下腔阻滞（SAB）建立前一小时，患者接受了生理盐水预充，在建立SAB后立即发生心脏骤停。通过胸外按压、肾上腺素和氧气成功复苏，并且在心肺复苏（CPR）期间娩出了一个活婴。患者在术后即刻出现癫痫发作。她接受了抗癫痫药物治疗并进行了机械通气。她还出现了产褥期精神病的症状，并接受了抗精神病药物治疗。患者在重症监护病房住院四天，恢复迅速，没有明显的残留损害。
