Case Report on Cardiac Arrest Under Spinal Anesthesia in a Case of Caesarean Section

Abstract

A 33 years old multiparous woman was admitted in Dhaka National Medical Institute Hospital with the complaints of 37 weeks pregnancy and less fetal movement. She was a known case of DM & had a previous history of caesarean section. She had under gone an emergency caesarean section under spinal anesthesia. Patient developed sudden severe hypotension with respiratory distress within 3-4 minutes after the anesthetic procedure, while she was in supine position. Subsequently she developed cardiac arrest. She was managed by cardiopulmonary resuscitation which included prompt tracheal intubation, ventilation with 100% oxygen, cardiac message & ionotropic drug. Cardiac arrest was revived. The operation was completed under general anaesthesia & was reversed uneventful. She was kept in CCU under close monitoring. The patient was discharged on her 7th postoperative day with a healthy baby and a healthy physical status.

Key words: Cardiac arrest, Spinal anaesthesia, Supine hypotensive syndrome.

Journal of BSA, Vol. 19, No. 1 & 2, 2006 p.54-56