Combined Spinal-epidural Anesthesia for Cesarean Section in a Patient with Peripartum Cardiomyopathy: A case report.
10.4097/kjae.2007.52.5.605
- Author:
Hee Yeon PARK
1
;
Eui Kyoung GOO
;
Sang Hwan DO
;
Kum Suk PARK
Author Information
1. Department of Anesthesiology, Seoul National University College of Medicine, Seoul, Korea. pks0399@empal.com
- Publication Type:Case Report
- Keywords:
cesarean section;
combined spinal-epidural anesthesia;
peripartum cardiomyopathy
- MeSH:
Adult;
Anesthesia*;
Anesthesia, Epidural;
Blood Pressure;
Cardiomyopathies*;
Central Venous Pressure;
Cesarean Section*;
Female;
Heart Failure;
Hemodynamics;
Humans;
Mortality;
Pain, Postoperative;
Passive Cutaneous Anaphylaxis;
Peripartum Period*;
Pregnancy
- From:Korean Journal of Anesthesiology
2007;52(5):605-608
- CountryRepublic of Korea
- Language:Korean
-
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.
