Demystifying a hassle in obstetric anaesthesia: A case report

We report a case of primigravida posted for emergency lower segment cesarean section (LSCS). She had to be administered general anesthesia due to failure of the spinal blockade. While the intraoperative period remained uneventful, the patient could not be extubated after the procedure due to poor respiratory efforts and motor power. She was shifted to the intensive care unit where, after several hours, she could be extubated. On follow-up and further workup, the pseudocholinesterase enzyme was found to be deficient in the patient's blood reports. This case report aims to highlight the importance of considering the deficiency of pseudocholinesterase while managing obstetric patients while suggesting deliberations and relevant management.