Anesthetic Management of Caesarean Section in a Patient with Verapamil Sensitive Ventricular Tachycardia after Catheter Ablation.

Minori Morita
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Abstract

A 32-year-old pregnant woman with verapamil sensitive ventricular tachycardia underwent elective caesarean section. She received catheter ablation for frequent tachycardia, but ventricular tachycardia appeared. In the operating room, a defibrillator pad was placed on her chest for external defibrillation, with A-line in a left radial artery. General anesthesia was started with rapid sequence induction. The anesthetic course was uneventful, and the infant showed no complication during the perioperative period. General anesthesia can be considered as safe anesthetic management for caesarean section in a patient with verapamil sensitive ventricular tachycardia.

维拉帕米敏感性室性心动过速导管消融后剖宫产术的麻醉处理。
一32岁孕妇维拉帕米敏感性室性心动过速行择期剖宫产术。她因频繁心动过速接受导管消融,但出现室性心动过速。在手术室,除颤器垫被放置在她的胸部进行体外除颤,在左桡动脉上有a线。全麻开始于快速序列诱导。麻醉过程顺利,患儿围手术期无并发症发生。对于维拉帕米敏感性室性心动过速剖宫产患者,全麻可视为安全的麻醉管理。
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