Combined epidural anesthesia and ultrasound guided peripheral nerve block for wound revision in a patient with peripartum cardiomyopathy: A case report.
10.4097/kjae.2010.59.5.353
- Author:
Tai Kyung GONG
1
;
Seong Su KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Gangneung Asan Hospital, College of Medicine, Ulsan University, Gangneung, Korea. sskim@gnah.co.kr
- Publication Type:Case Report
- Keywords:
Anesthesia;
Epidural;
Ilioinguinal and iliohypogastric nerve block;
Peripartum cardiomyopathy;
Ultrasonography;
Ventricular dysfunction
- MeSH:
Adult;
Anesthesia;
Anesthesia, Epidural;
Cardiomyopathies;
Cesarean Section;
Emergencies;
Female;
Hemodynamics;
Humans;
Nerve Block;
Peripartum Period;
Peripheral Nerves;
Pregnancy;
Ventricular Dysfunction;
Ventricular Dysfunction, Left
- From:Korean Journal of Anesthesiology
2010;59(5):353-358
- CountryRepublic of Korea
- Language:English
-
Abstract:
Peripartum cardiomyopathy (PPCM) is a rare complication that occurs between the late stage of pregnancy and six months after delivery. PPCM presents as symptoms of left ventricular dysfunction and it can be fatal unless treated promptly. Furthermore, anesthesia and surgery in such patients is a large challenge to anesthesiologists. First and foremost, the maintenance of stable hemodynamics is a major concern. We report a case of combined lumbar epidural anesthesia and both ilioinguinal and iliohypogastric nerve block under ultrasound guided for a wound revision in a 37-year-old woman diagnosed with PPCM after an emergency cesarean section.
