Incidental hypoglycemia with suspected high spinal in a case for emergency caesarian.
Spinal anaesthesia is a suitable choice for emergency LSCS (lower segment caesarian section). High spinal is common in parturients. We report a case of 25-year-old primigravida with cephalo pelvic disproportion coming for emergency LSCS with no comorbidities. The patient became unresponsive after 5 min of Sub Arachnoid Block (SAB), managed as a case of high spinal. Still the patient remained unresponsive at the end of surgery, 50 min after SAB. Patient started responding to oral commands after correction of hypoglycemia with 25% dextrose infusion.
Assistant Professor, Department of Anaesthesiology, Sri Devaraj URS Medical College , Tamaka, Kolar, Karnataka, India .
Mohammed
M
Shahid
Professor, Department of Anaesthesiology, Sri Devaraj URS Medical College , Tamaka, Kolar, Karnataka, India .
Ravi
R
Madhusudhana
Resident, Department of Anaesthesiology, Sri Devaraj URS Medical College , Tamaka, Kolar, Karnataka, India .
Archana Keshav
AK
Raichurkar
Anaesthesia; High sub arachnoid block; Low blood sugars; Pregnancy