Korean J Anesthesiol.  2010 Aug;59(2):130-134. 10.4097/kjae.2010.59.2.130.

An anesthetic experience with cesarean section in a patient with vasovagal syncope: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Gangneung Asan Hospital, Ulsan University College of Medicine, Gangneung, Korea. sskim@gnah.co.kr

Abstract

Epidural anesthesia was performed for a cesarean section in a patient with vasovagal syncope. A 26-year-old woman at 41 weeks of gestation and with a known history of vasovagal syncope was scheduled to undergo an emergency cesarean section. She received epidural anesthesia for the cesarean delivery and showed signs and symptoms of vasovagal syncope, which were treated successfully with fluids and the administration of a vasoconstrictor. This case highlights the need for anesthesiologists to understand vasovagal syncope precisely because severe hypotension in a patient under anesthesia for a cesarean section is dangerous to both the mother and baby.

Keyword

Cesarean section; Epidural anesthesia; Vasovagal syncope

MeSH Terms

Adult
Anesthesia
Anesthesia, Epidural
Cesarean Section
Emergencies
Female
Humans
Hypotension
Mothers
Pregnancy
Syncope, Vasovagal
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