Beware of administration of methylergometrine prior to uterine incision and delivery; venous air embolism during caesarean section

Hegde, Harihar V.; Rao, Raghavendra P.

dc.contributor.author	Hegde, Harihar V.
dc.contributor.author	Rao, Raghavendra P.
dc.date.accessioned	2012-12-15T11:21:45Z
dc.date.available	2012-12-15T11:21:45Z
dc.date.issued	2011
dc.identifier.citation	Trends in Anaesthesia and Critical Care. 2011; 111-114.	en_US
dc.identifier.issn	2210-8440
dc.identifier.uri	http://hdl.handle.net/123456789/281
dc.description.abstract	Caesarean section has been associated with venous air embolism. Uterine sinuses are vulnerable to the entrance of air, especially in the presence of placenta previa. We report a 32-year-old, gravida-IV admitted with antepartum haemorrhage and intra-uterine foetal demise at 34-weeks of gestation. She underwent an emergency caesarean section under general anaesthesia and developed venous air embolism intra-operatively which was managed successfully. We speculate, the administration of methylergometrine prior to uterine incision probably lead to ‘iatrogenic’ abruption of the placenta and venous air embolism. We recommend anaesthesiologists to avoid or be cautious while administering oxytocics prior to uterine incision (in case of intra-uterine foetal demise	en_US
dc.language.iso	en	en_US
dc.publisher	Elsevier	en_US
dc.subject	Venous air embolism	en_US
dc.subject	Caesarean section	en_US
dc.subject	Placenta previa	en_US
dc.subject	Methylergometrine	en_US
dc.subject	Oxytocics	en_US
dc.title	Beware of administration of methylergometrine prior to uterine incision and delivery; venous air embolism during caesarean section	en_US
dc.type	Article	en_US