Anesthetic Management for Emergency Lower Segment Cesarean Section in a Septicemia Patient with Systemic Lupus Erythematosus

Pooja Abbi; Keerat K Kullar; Deepika Arora; Chandna Badhan

doi:10.5005/jp-journals-10055-0069

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Anesthetic Management for Emergency Lower Segment Cesarean Section in a Septicemia Patient with Systemic Lupus Erythematosus

Pooja Abbi, Keerat K Kullar, Deepika Arora, Chandna Badhan

Keywords : Anesthetic management, Pregnant, Systemic lupus erythematosus

Citation Information : Abbi P, Kullar KK, Arora D, Badhan C. Anesthetic Management for Emergency Lower Segment Cesarean Section in a Septicemia Patient with Systemic Lupus Erythematosus. Curr Trends Diagn Treat 2019; 3 (2):84-85.

DOI: 10.5005/jp-journals-10055-0069

License: CC BY-NC 4.0

Published Online: 16-09-2020

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Abstract

Aim: The aim of this study is to describe the successful anesthetic management of a diagnosed systemic lupus erythematosus (SLE) parturient with bad obstetric history and septicemia, posted for emergency cesarean section. Background: Systemic lupus erythematosus is an autoimmune disease which may occur in pregnancy resulting in obstetrical complications. Disease exacerbation, increased fetal loss, neonatal, and an increased incidence of preeclampsia are the major challenges. Case description: A 33-year-old female patient (G₇A₆L₀) with 32 weeks of amenorrhea presented with fetal distress planned for cesarean section, in Sri Guru Ram Das Medical College and Hospital, Amritsar. Patient had a history of multiple abortions and no live issues. Conclusion: Regional anesthesia is a preferred choice for pregnant patient with SLE who presents for cesarean section.

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Varsha V, Deepika S, Surekha P. Cesarean section in a case of systemic lupus erythematosus. Indian J Anaesth 2014;58(2):193–195. DOI: 10.4103/0019-5049.130827.
Jindal P, Kapoor R, Khurana G, et al. Anesthetic implications in systemic lupus erythematosus patients posted for cesarean section: a series of five cases. J Obstet Anaesth Crit Care 2013;3(2):97–100. DOI: 10.4103/2249-4472.123306.
Kiran BP, Tapan S, Ananyaruchi SS. Anesthetic management for elective lower segment cesarean section in a patient with systemic lupus erythematosus and thrombocytopenia. Ain Shams J Anaesthesiol 2016;9(1):142–145. DOI: 10.4103/1687-7934.178896.
Chauhan G, Gupta K, Kashyap C, et al. Anesthetic management of patient with systemic lupus erythematosus and thrombocytopenia for vaginal hysterectomy. Anesth Essays Res 2013;7(1):136–137. DOI: 10.4103/0259-1162.114022.
Stern C, Chamley L, Norris H, et al. A randomized, double-blind, placebo-controlled trial of heparin and aspirin for women with in vitro fertilization implantation failure and antiphospholipid or antinuclear antibodies. Fertil Steril 2003;80(2):376–383. DOI: 10.1016/s0015-0282(03)00610-1.
Derksen RH, Khamashta MA, Branch DW. Management of the obstetric antiphospholipid syndrome. Arthritis Rheum 2004;50(4):1028–1039. DOI: 10.1002/art.20105.

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