We report a case of a pregnant lady with a Patent Ductus Arteriosus
(PDA) of small size with left to right shunt and mild pregnancy induced hypertension
(PIH), with 36 weeks gestation, admitted to our hospital for delivery. She was
prepared for Cesarean section under spinal anaesthesia,as patient was in labour
with twin pregnancy. We had to carry out the procedure under spinal anesthesia
using 2 ml of 0.5% inj. bupivacaine heavy. Ampicillin and gentamicin were
administered for prophylaxis against bacterial endocarditis. Hypotension was
treated with bolus doses of injection mephenteramine 6mg along with titrated
infusion of intravenous Ringer?s lactate solution. Patient was monitored in
PACU for 6 hour and then shifted to SICU. The recovery was satisfactory and
postoperative stay was uneventful. - See more at:
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