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Canadian Journal of Anesthesia, Vol 35, 422-424, Copyright © 1988 by Canadian Anesthesiologists' Society

ARTICLES

Anaesthesia for caesarean section in a patient with Jervell, Lange-Nielsen syndrome

H Ryan
Department of Anaesthesia, University Hospital, College of Medicine, Saskatoon, Saskatchewan.

The anaesthetic management of a patient with Jervell, Lange-Nielsen syndrome (a form of congenitally prolonged QT interval) requiring emergency Caesarean section is presented. An epidural anaesthetic using 3-chloroprocaine produced a safe and satisfactory anaesthetic for the procedure in a patient prone to ventricular arrhythmias and cardiac arrest. High levels of circulating catecholamines have been postulated as one of the causes of the arrhythmias in these patients, making it advisable to select drugs and techniques known to minimize catecholamine levels. Although communication can be difficult in these profoundly deaf patients, it is important in order to reduce the emotional stress. Elective Caesarean sections under general anaesthesia have been reported; it appears that a well planned regional anaesthetic is equally safe.


This article has been cited by other articles:


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 Canadian J. AnesthesiaHome page
E. Drake, R. Preston, and J. Douglas
Brief review: Anesthetic implications of long QT syndrome in pregnancy: [Article de synthese court : Implications anesthesiques du syndrome du QT long pendant la grossesse]
Can J Anesth, July 1, 2007; 54(7): 561 - 572.
[Abstract] [Full Text] [PDF]

Home page
 Canadian J. AnesthesiaHome page
A. Al-Refai, V. Gunka, and J. Douglas
Spinal anesthesia for Cesarean section in a parturient with long QT syndrome: [La rachianesthesie pour une cesarienne chez une parturiente qui presente un syndrome du QT long]
Can J Anesth, December 1, 2004; 51(10): 993 - 996.
[Abstract] [Full Text] [PDF]


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Copyright © 1988 by the Canadian Anesthesiologists' Society.