Sole epidural anaesthesia in obstetric patients with cardiac diseases posted for elective LSCS - Case series

Abstract

Patients with heart disease are at increased risk for perioperative complications, making careful anaesthetic management essential. Regional anaesthesia not only reduces the need for systemic analgesics but also helps maintain hemodynamic stability during the procedure, which is crucial for this high-risk population. Studies indicate that Epidural technique leads to lower rates of intraoperative hypotension and reduced postoperative complications in cardiac patients. Despite these benefits, the application of epidural anaesthesia in patients with cardiac conditions requires thorough preoperative assessment and individualized planning to address potential contraindications and complications. This case series provide information regarding use of regional anaesthesia for LSCS in obstetric patients with heart disease, highlighting clinical outcomes and management strategies employed in this unique cohort.