Journal of Anesthesia

, Volume 30, Issue 4, pp 731–734 | Cite as

Low-dose spinal–epidural anesthesia for Cesarean section in a parturient with uncontrolled hyperthyroidism and thyrotoxic heart disease

  • Zhimin Liao
  • Yaqin Xiong
  • Linli LuoEmail author
Clinical Report


A 29-year-old woman at 34 weeks’ gestation with uncontrolled hyperthyroidism and thyrotoxic heart disease was admitted to urgency Cesarean section. After preoperative sedation and good communication, low-dose spinal anesthesia (7.5 mg 0.5 % bupivacaine) combined with epidural anesthesia (6 ml 2 % lidocaine) was performed through L3–4 inter-vertebral. Opioids were given intravenously to the mother for sedation after delivery of the baby. Satisfactory anesthesia and sedation was provided during surgery. The mother and the neonate were safe and no special complication was found after surgery. Our case demonstrated that low-dose spinal anesthesia combined with epidural anesthesia with intravenous opioids can provide satisfactory anesthesia and sedation, and reduce the risk of heart failure and thyroid storm.


Combined spinal epidural anesthesia Cesarean section Hyperthyroidism Thyrotoxic heart disease 


Compliance with ethical standards

Conflict of interest

The authors have no conflicts of interest.


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Copyright information

© Japanese Society of Anesthesiologists 2016

Authors and Affiliations

  1. 1.Department of Anesthesiology, West China Second HospitalSichuan UniversityChengduPeople’s Republic of China
  2. 2.Key Laboratory of Obstetric Gynecologic and Pediatric Diseases and Birth DefectsMinistry of EducationChengduPeople’s Republic of China

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