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CASE REPORT
Year : 2020  |  Volume : 4  |  Issue : 6  |  Page : 74-76

The conundrum of perioperative management for emergency cesarean section in a patient with anaphylactic shock


Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

Correspondence Address:
Dr. Habib Md Reazaul Karim
Faculty Room A001, Block A, All India Institute of Medical Sciences, Raipur - 492 099, Chhattisgarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/BJOA.BJOA_87_20

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Anaphylaxis during pregnancy is uncommon and poses a great dilemma. The conundrum of drug therapy, optimal timing of delivery, and method of anesthesia is still unresolved. We report such a case of 30-year-old hypothyroid parturient at 36 weeks and 5 days of gestation, with a history of uneventful previous lower segment cesarean section (LSCS). She was having scar tenderness and fetal distress and was being prepared for planned emergency LSCS. She had an anaphylactic reaction to ceftriaxone and developed cardiorespiratory failure. The manuscript highlights the different dilemmas and discusses management options.


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