Browsing by Author "C, Thapa"
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Publication Peripartum cardiomyopathy undergoing caesarean section under epidural anaesthesia(Kathmandu University, 2006) BR, Shrestha; C, ThapaPurpose: To report a case of peripartum dilated cardiomyopathy presenting for emergency caesarean section, this was successfully managed with Epidural Anaesthesia. Clinical features: A parturient suffering from idiopathic peripartum cardiomyopathy (E.F. 18%) was brought for an emergency caesarean section. Epidural anaesthesia was performed and 2% Lignocaine with adrenaline total 13ml was injected into the epidural space. The patient’s haemodynamic status was monitored with NIBP, ECG, pulse oximetry. Patient’s perioperative course was uneventful. Conclusion: In patients suffering from peripartum cardiomyopathy, undergoing caesarean section epidural anaesthesia is an acceptable anaesthetic alternative. Key words: Cardiomyopathy, epidural, caesarean section, anaesthesia