Anaesthetic management of a parturient with the postural orthostatic tachycardia syndrome: a case report.

Journal Article (Journal Article)

Postural orthostatic tachycardia syndrome encompasses a group of disorders characterized by orthostatic intolerance. We describe the anaesthetic management of analgesia for labour and of Caesarean section in a parturient suffering from this disorder. Worsening of her symptoms during pregnancy was managed with an increase in the dose of beta-blockers taken by the patient. Epidural analgesia was instigated early to attenuate the stress of labour and avoid consequent triggering of a tachycardic response. Slow titration of epidural analgesia and anaesthesia after an adequate fluid preload was undertaken to minimize hypotension and subsequent tachycardia. Neuraxial opioid, combined with non-steroidal anti-inflammatory drugs and bilateral iliohypogastric and ilioinguinal nerve blocks were used to optimize postoperative analgesia.

Full Text

Duke Authors

Cited Authors

  • Corbett, WL; Reiter, CM; Schultz, JR; Kanter, RJ; Habib, AS

Published Date

  • August 2006

Published In

Volume / Issue

  • 97 / 2

Start / End Page

  • 196 - 199

PubMed ID

  • 16698864

International Standard Serial Number (ISSN)

  • 0007-0912

Digital Object Identifier (DOI)

  • 10.1093/bja/ael105


  • eng

Conference Location

  • England