International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Call for Papers | Fully Refereed | Open Access | Double Blind Peer Reviewed

ISSN: 2319-7064


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Case Studies | Anaesthesiology | India | Volume 12 Issue 4, April 2023


Epidural Volume Extension Technique - A Novel Approach for Anaesthetic Management of RHD with Severe AR Posted for Elective LSCS

Dr. Mangalagouri G Bhat | Dr. Priti Devalkar [2]


Abstract: Background: Epidural volume extension technique is emerging as one of the safe Anaesthetic technique especially in high risk obstetrics cases. We routinely practice this method in elective cases in Obstetric OT. Case description: 22 year old primigravida with 38 weeks of gestation in a K/C/O RHD with severe AR since the age of 12 years was admitted for safe conception. She c/o occasional palpitation on exertion, O/E she was found to have bounding pulse which is regular. Diastolic murmur was heard on auscultation in aortic area (Grade 3) and suprasternal pulsations were present.2D echo was s/o severe AR, 12 lead ECG ? s/o LVH. On day of surgery, Combined spinal epidural anaesthesia was given & Epidural volume extension was done with Normal saline immediately post spinal. Procedure was done uneventfully without any hemodynamic instability & epidural supplements.


Keywords: Combined spinal epidural, Epidural volume extension, RHD with severe AR


Edition: Volume 12 Issue 4, April 2023,


Pages: 533 - 534


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