Clash of concurrent urgent and acute caesareansections – case report


Authors: Šrámková Lucie 1;  Čurdová Marcela 1;  Herold Ivan 1;  Šmehil Mario 2;  Pán Martin 2
Authors‘ workplace: Anesteziologicko-resuscitační oddělení, Oblastní nemocnice Mladá Boleslav, a. s., Nemocnice Středočeského kraje 1;  Gynekologicko-porodnické oddělení, Oblastní nemocnice Mladá Boleslav, a. s., nemocnice Středočeského kraje 2
Published in: Anest. intenziv. Med., 25, 2014, č. 1, s. 18-20
Category: Anaesthesiology - Case Report

*Práce prezentována v posterové sekci na XX. ČSARIM kongresu v Brně 18. 10. 2013.

Overview

We describe an uncommon clash of an urgent and acute Caesarean section in a regional general hospital during night hours and the management of the situation. The first parturient was admitted to the Gynecology/Obstetrics Department and indicated for an acute Caesarean section in subarachnoid anaesthesia. During onset of anaesthesia and preparation of the surgical field in theatre, another parturient required immediate Caesarean Section. As only one obstetrician team was available it was impossible to perform both the procedures in parallel. Because subarachnoidal blockade was chosen in the first parturient, it was feasible to postpone the surgical procedure and move the parturient back to the labour ward with full monitoring of vital signs, and to perform the more urgent Casearean section first. After finishing the more urgent Caesarean section the originally first parturient successfully underwent a postponed Caesarean section in the persisting block. Both the newborns were born healthy and adapted well.

Keywords:
Caesarean section – subarachnoidal anaesthesia – general anaesthesia – breech lie


Sources

1. Pařízek, A. et al. Analgezie a anestezie v porodnictví. Praha: Grada, 2012.

2. Pařízek, A. et al. Kritické stavy v porodnictví. Praha: Grada, 2012.

3. Štourač, P. Obstetric Anaesthesia and Analgesia Month Attributes: Reálná zpráva o anesteziologické praxi na českých porodních odděleních. Anest. intenziv. Med., 2013, 24, č. 2, s. 81–82.

4. Lucas, D., Yentis, M., Kinsella, M. et. al. Urgency of caesarean section: a new classification. J. R. Soc. Med., 2000, 93, p. 346–350.

5. Bláha, J. Porodnická anestezie v česku. Lékařské listy, 2013, 7, p. 13–15.

Labels
Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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