Combined spinal-epidural technique in a patient with PSVT: a case report

Document Type : Case report

Authors

1 Department of Anaesthesiology, professor, RNT Medical College, Udaipur, Rajasthan, 313001, India

2 Department of Anaesthesiology, Resident, RNT Medical College, Udaipur, Rajasthan, 313001, India

Abstract

Background: Supraventricular tachycardia is a heterogeneous group of arrhythmias (prevalence of 2.25/1000 persons) with a female predominance of 2:1 across all age groups. The most common SVTs include atrioventricular nodal re-entrant tachycardia, atrioventricular re-entrant tachycardia, and atrial tachycardia. SVT increases patient morbidity, particularly when symptoms are frequent, and in a small cohort of patients with atrial fibrillation and ventricular pre-excitation, it can be life-threatening.
Case presentation: Here, we report a case of previously diagnosed Paroxysmal Supra Ventricular Tachycardia (PSVT) who was on tab Diltiazem 30 mg, 2 tablets thrice daily. She had a history of hypothyroidism for the past one and half years, for which she was on tab thyroxine 25 microgram OD. She was posted for abdominal hysterectomy, which was successfully done under low-dose combined spinal epidural anaesthesia (CSE) with volume extension technique.
Conclusion: Low-dose CSE with volume extension technique is a good alternative for spinal anaesthesia, in patients with PSVT posted for lower abdominal surgeries

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