Publication: Peripartum cardiomyopathy undergoing caesarean section under epidural anaesthesia
Date
2006
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
Purpose: 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
Description
Shrestha BR 1, Thapa C 2
1Assistant Professor, 2Medical Officer, Department of Anaesthesiology, KMCTH