A 30 year old woman with coarctation of aoa is admitted to the labour room for elective caesarean section. Which of the following is the anaesthesia technique of choice:
C i.e. General anesthesia In coarctation of aoa any decrease in cardiac output or cardiac return is deleterious to the fetus because the placental circulation is already comprised on account of coarctation. So any anesthetic procedure/drug which causes hypotension should be avoided. Regional anaesthic procedure such as spinal anesthesia and epidural anesthesia should be avoidedQ in these patients because hypotension is the most common side effect of these procedure. General anesthesia is technique of choiceQ for performing cesarian section in a patient with coarctation of aoa, as it has advantage of - rapid induction, better airway & ventilation and less hypotension.
Spinal anaesthesia
Epidural anaesthesia
General anaesthesia
Local anaesthesia with nerve block