{
  "abstract": "Application for ESRA Abstract Prizes:Background and Aims Hereditary angioedema (HA) requires careful management during pregnancy and cesarean section due to hormonal changes, trauma, infection, and fluid balance shifts. Tailored perioperative care is essential for pregnant HA patients.Methods A 23-year-old female with hereditary angioedema (HA) at 39 weeks of pregnancy underwent cesarean section. She had a family history of HA and experienced her first attack at age 10, with additional attacks in 2021 and 2024. She received C1-INH concentrate before a cesarean section in 2023. Preoperative consultation led to the administration of 1000 IU of C1-INH concentrate 2 hours before surgery for prophylaxis. C1-INH, 2 units of FFP (fresh frozen plasma), tranexamic acid were prepared for potential complications. Spinal anesthesia was performed, with difficult airway equipment available for potential laryngeal edema or conversion to general anesthesia. During surgery, the patient‘s vital signs remained stable. She was transferred to the ICU for 24-hour monitorization, no attacks occured.Results Literature does not favor one anesthesia type over the other. Regional anesthesia was chosen to minimize fetal effects, with spinal anesthesia preferred for the short surgery. However, general anesthesia drugs and airway equipment were prepared due to potential intubation difficulties.Conclusions In patients with hereditary angioedema (HA) undergoing cesarean section, prophylaxis against potentially fatal angioedema attacks should be considered. Even with regional anesthesia, surgery may trigger attacks, so C1-INH concentrate, FFP, tranexamic acid should be prepared for treatment. As with all cesarean sections, general anesthesia preparations should be made, difficult intubation equipment and a cricothyroidotomy set should be available for potential laryngeal edema.",
  "authors": [
    {
      "affiliations": [
        "Anesthesiology and Reanimation, Ankara Etlik City Hospital, Ankara, Turkey"
      ],
      "name": "Süleyman Sarı"
    },
    {
      "affiliations": [
        "Anesthesiology and Reanimation, Ankara Etlik City Hospital, Ankara, Turkey"
      ],
      "name": "İsmail Bilgiç"
    },
    {
      "affiliations": [
        "Anesthesiology and Reanimation, Ankara Etlik City Hospital, Ankara, Turkey"
      ],
      "name": "İlkay Baran Akkuş"
    }
  ],
  "title": "P295 Anesthesia for cesarean section of a patient with hereditary angioedema",
  "uid": "2943ee75-86c7-50a8-9796-870bdab1bf83"
}