title: [Anesthetic management of caesarean section in a patient with asymptomatic idiopathic prolonged QT interval syndrome].
abstract: A 27-year-old patient with asymptomatic idiopathic prolonged QT interval syndrome underwent elective caesarean section. We selected combined spinal-epidural anesthesia to avoid excessive sympathetic stimulation. Bupivacaine 9 mg and lidocaine 100 mg were used for spinal anesthesia and epidural anesthesia, respectively. The anesthetic course was uneventful, and the infant showed no complication during the perioperative period. In conclusion, we consider combined spinal-epidural anesthesia as a safe anesthetic strategy for caesarean section in a patient with asymptomatic idiopathic prolonged QT interval syndrome.
authors.affiliation: Department of Anesthesiology, Tohoku University Graduate School of Medicine, Sendai 980-8574.
authors.forename: Eri
authors.initials: E
authors.lastname: Kameyama
authors.forename: Yousuke
authors.initials: Y
authors.lastname: Ito
authors.forename: Jun
authors.initials: J
authors.lastname: Ito
authors.forename: Kouji
authors.initials: K
authors.lastname: Saito
authors.forename: Noritaka
authors.initials: N
authors.lastname: Murakami
authors.forename: Takashi
authors.initials: T
authors.lastname: Horinouchi
authors.forename: Masato
authors.initials: M
authors.lastname: Kato
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical / Q000379:methods*; D000775:Anesthesia, Spinal; D002045:Bupivacaine; D002585:Cesarean Section; D005260:Female; D006801:Humans; D008012:Lidocaine; D008133:Long QT Syndrome; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular
chemical_list: D008012:Lidocaine; D002045:Bupivacaine