P-ISSN 2587-2400 | E-ISSN 2587-196X
Anesthetic Management of a Pregnant Woman with Heroin Addiction Under Emergency Conditions: A Case Report [EJMO]
EJMO. 2018; 2(3): 176-178 | DOI: 10.14744/ejmo.2018.57441

Anesthetic Management of a Pregnant Woman with Heroin Addiction Under Emergency Conditions: A Case Report

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

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

Keywords: Anesthetic managament, caesarean, heroin addiction.

Fatma Kavak Akelma. Anesthetic Management of a Pregnant Woman with Heroin Addiction Under Emergency Conditions: A Case Report. EJMO. 2018; 2(3): 176-178

Corresponding Author: Fatma Kavak Akelma, Türkiye

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