Peripartum cardiomyopathy and cesarean section: report of two cases and literature review
Autor: | Craig H. Leicht, Ivan A. Velickovic |
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Rok vydání: | 2003 |
Předmět: |
Adult
Anesthesia Epidural Cardiomyopathy Dilated medicine.medical_specialty Peripartum cardiomyopathy Cardiomyopathy Twins Anesthesia Spinal Hemodynamically stable Pregnancy Medicine Humans Ropivacaine Anesthetics Local reproductive and urinary physiology Bupivacaine business.industry Cesarean Section Obstetrics and Gynecology General Medicine medicine.disease Amides Surgery Pregnancy Complications Combined spinal epidural Heart failure Anesthesia Anesthetic Female Pregnancy Multiple business medicine.drug |
Zdroj: | Archives of gynecology and obstetrics. 270(4) |
ISSN: | 0932-0067 |
Popis: | The anesthetic management of labor and delivery in patients with peripartum cardiomyopathy is not well defined. Using continuous spinal anesthesia with bupivacaine or combined spinal epidural anesthesia with ropivacaine in such rare clinical situations has not been previously reported. We present two cases in which parturients with the diagnosis of peripartum cardiomyopathy presented in congestive heart failure for emergent Cesarean section. Continuous spinal anesthesia and combined spinal-epidural anesthesia were successfully employed as the anesthetic techniques for the procedures. Both patients remained hemodynamically stable during surgery and were discharged home on postoperative days 5 and 4 respectively. |
Databáze: | OpenAIRE |
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