Combined Spinal-epidural Anesthesia for Cesarean Section in a Patient with Peripartum Cardiomyopathy: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 605-608, 2007.
Article
in Korean
| WPRIM
| ID: wpr-223094
ABSTRACT
Peripartum cardiomyopathy (PPCM) is a rare form of cardiomyopathy associated with a significant morbidity and mortality. The anesthetic management of a Cesarean section in patients with PPCM has not been well defined. Herein, our experience of a 31-year-old multipara, with recurrent PPCM and congestive heart failure, who presented for an elective cesarean section, is reported. Combined spinal-epidural anesthesia was successfully employed as the anesthetic technique for the procedure. The intra-arterial blood pressure and central venous pressure were monitored throughout the procedure. In addition, the patient's postoperative pain was markedly reduced with the use of epidural PCA. Combined spinal-epidural anesthesia is suggested to be a reliable technique, which provides minimal hemodynamic changes, and a lower failure rate than epidural anesthesia only, and is also highly effective with a low dose of local anesthetic drug.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pain, Postoperative
/
Blood Pressure
/
Passive Cutaneous Anaphylaxis
/
Central Venous Pressure
/
Cesarean Section
/
Mortality
/
Peripartum Period
/
Heart Failure
/
Hemodynamics
/
Anesthesia
Type of study:
Prognostic study
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
2007
Type:
Article
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