P-ISSN 2587-2400 | E-ISSN 2587-196X
Eurasian Journal of Medicine and Oncology Anesthetic management of a pregnant woman with heroin addiction under emergency conditions: a case report [EJMO]
EJMO. Ahead of Print: EJMO-57441 | DOI: 10.14744/ejmo.2018.57441

Anesthetic management of a pregnant woman with heroin addiction under emergency conditions: a case report

Fatma Kavak Akelma
Health Sciences University, Ankara Zubeyde Hanim Etlik Maternity and Gynecology Research and Training Hospital, Department of Anesthesiology

Background Heroin abuse and addiction is steadily rising worldwide, particularly among young people and pregnant women. In the current report we present the challenges in the management of a patient with heroin dependence in the pre- and intraoperative stage and we discuss the choice of anesthetic technique under emergency circumstances. Case Report We performed an emergency cesarean section under spinal anaesthesia in a 23-year-old pregnant women who presented with fetal distress and who had a history of heroin abuse during pregnancy. After delivery, midazolam 1 mg and fentanyl 50 μg were administered to relieve maternal anxiety. Conclusion We recommend the use of regional anesthesia, if not contraindicated, in pregnant women with opioid dependence requiring emergency cesarean section.

Keywords: anesthetic managament, caesarean, heroin addiction



Corresponding Author: Fatma Kavak Akelma, Türkiye

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