OJOGOpen Journal of Obstetrics and Gynecology2160-8792Scientific Research Publishing10.4236/ojog.2015.515122OJOG-61987ArticlesMedicine&Healthcare Erratum to “Anesthetic Dilemma: Spinal Anesthesia in a Severe Pre-Eclamptic Patient with Twin Gestation, Heart Failure and Acute Pulmonary Edema” .O. Oyebamiji1*B.B. Osinaike2B.T. Olaifa1A.A. Adeniji3Department of Anesthesia, Ladoke Akintola University of Technology Teaching Hospital, Osogbo, NigeriaDepartment of Obstetrics & Gynecology, Ladoke Akintola University of Technology Teaching Hospital, Osogbo, NigeriaDepartment of Anesthesia, University of Ibadan/University College Hospital, Ibadan, Nigeria* E-mail:droyebamiji@gmail.com(.OO);08122015051586486410 February 2015accepted 10 April 13 April 2015© Copyright 2014 by authors and Scientific Research Publishing Inc. 2014This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/

Background: Severe preeclampsia with acute pulmonary oedema possesses great challenges to the anaesthetist. If not well managed, it could be associated with high maternal morbidity and mortality rate as well as fetal wastage. Aim: To sensitize the anaesthetist that when confronted with such a dilemma, well managed low spinal block can be a useful and successful anaesthetic technique. Methods: We report the case of a 23-year-old primigravida with twins gestation at 36 weeks, who presented with severe ante-partum pre-eclapsia, acute pulmonary oedema and acute heart failure. Blood investigations done were normal, and clotting time was within normal range. Her clinical conditions were optimized through a well thoughtful medication after which a low dose spinal anesthesia was performed using 1.5 mls (7.5 mg) of 0.5% hyperbaric bupivacaine (Modified saddle). The baby was delivered through a low segment caesarean section. Conclusion: The procedure was well tolerated and successful. Low spinal is associated with low incidence of hypotension and do not require pre-loading.

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