Abstract

ALEGRE ANDRADE, Patricia. Anesthetic management in obstetric patient with cardiac tamponade . Gac Med Bol [online]. 2021, vol.44, n.1, pp.103-107. ISSN 1012-2966.

Cardiac tamponade is the accumulation of fluid within the pericardial sac, which leads to an increase in intrapericardial pressure, allowing the deterioration of the heart’s ability to fill and act as a pump. Among its causes are tuberculosis, collagen disease, and cancer. In pregnancy, the signs and symptoms of cardiac tamponade can be masked by the physiological changes of pregnancy. The gold standard of detection is echocardiography. Treatment of cardiac tamponade is pericardiocentesis or surgical. The case of a 26-year-old patient is presented with: a 32.6 for week pregnancy in preterm labor, cardiac tamponade and 2-hour post-pericardiocentesis, for culminate of pregnancy. Anesthetic management is complex for both the mother and the newborn, basing on maintaining hemodynamic stability and subsequent transfer to the intensive care unit.

Keywords : general anesthesia; cardiac tamponade; obstetrical anesthesia; cesarean section.

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