Combined spinal-epidural anesthesia for Cesarean section in a patient with peripartum dilated cardiomyopathy View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2001-07

AUTHORS

Roman Shnaider, Tiberiu Ezri, Peter Szmuk, Stephen Larson, R. David Warters, Jeffrey Katz

ABSTRACT

PURPOSE: To report a case of peripartum dilated cardiomyopathy associated with morbid obesity and possible difficult airway presenting for elective Cesarean section, which was successfully managed with combined spinal-epidural anesthesia. CLINICAL FEATURES: A morbidly obese parturient with a potentially difficult airway, suffering from idiopathic peripartum cardiomyopathy (ejection fraction 20%), was scheduled for an elective Cesarean section. A combined spinal epidural anesthesia was performed and 6 mg of bupivacaine were injected into the subarachnoid space. This was supplemented after 60 min with 25 mg of bupivacaine injected epidurally. The patient's hemodynamic status was monitored with direct intra-arterial blood pressure and central venous pressure measurements. The patient's perioperative course was uneventful. CONCLUSION: In patients suffering from peripartum cardiomyopathy, undergoing Cesarean section, combined spinal-epidural anesthesia may be an acceptable anesthetic alternative. More... »

PAGES

681

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf03016203

DOI

http://dx.doi.org/10.1007/bf03016203

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1009047759

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/11495876


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