Anesthetic management in pregnant women with Fontan circulation: a case series

JA Clinical Reports

Table 2 Summary of deliveries and anesthetic management

Case	Gestation at delivery (weeks)	Mode of delivery	Labor analgesia was scheduled	Indication for C/S	Neutralization by protamine	Anesthesia management	Monitoring	Fluids	Blood loss (mL)	Intake/output balance (mL)	Use of vasopressor
Vaginal delivery
1	34	Labor analgesia	+		+	Epi	Standard	N/A	500	N/A	No
C/S
2	36	Scheduled C/S	–		-	Epi, Spi	Standard, A, CVP	800 mL crystalloid, 1500 mL colloid	1120	Positive 860	No
3	35	Emergency C/S	+	Worse CHF	-	Epi, Spi	Standard	1200 mL crystalloid	209	Positive 793	No
4	29	Emergency C/S	–	Twin pregnancy, placenta previa	–	Spi	Standard, A	700 mL crystalloid	1482	Negative 952	Phenylephrine 0.1 mg
5	34	Emergency C/S	+	Breech presentation	+	General anesthesia	Standard	860 mL crystalloid, 400 mL colloid, 140 mL RBC	1410	Negative 209	Phenylephrine 0.4 mg, calcium gluconate 15 mL

C/S Cesarean section, Epi Epidural anesthesia, N/A Not available, Spi Spinal anesthesia, A Arterial blood pressure, CVP Central venous pressure, CHF Cardiac heart failure, RBC Red cell concentrate