Supraventricular tachycardia in a parturient under spinal anesthesia.
METHODS
A 30-year-old woman with a history of palpitations was admitted for a repeat cesarean delivery at 41 weeks' gestation. Spinal anesthesia was administered.


RESULTS
Supraventricular tachycardia and hypotension developed in the patient and were treated with boluses of ephedrine and phenylephrine.


CONCLUSIONS
Phenylephrine may be used successfully for the treatment of SVT that results in hypotension under spinal anesthesia, and it may have advantages over ephedrine.
Gajraj
N M
NM
Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas 75235-9068.
Wallace
D H
DH
Pace
N A
NA
D000328:Adult; D000773:Anesthesia, Obstetrical; D000775:Anesthesia, Spinal; D002585:Cesarean Section; D004809:Ephedrine / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007022:Hypotension / Q000188:drug therapy / Q000209:etiology*; D007431:Intraoperative Complications; D010656:Phenylephrine / Q000627:therapeutic use; D011247:Pregnancy; D013617:Tachycardia, Supraventricular / Q000188:drug therapy / Q000209:etiology*
D010656:Phenylephrine; D004809:Ephedrine