Anesthetic Management of a Pregnant Woman with Heroin Addiction Under Emergency Conditions: A Case Report
Fatma Kavak Akelma11Department 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.
Cite This Article
Kavak Akelma F. 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