Abstract
Purpose: To report a case of peripartum dilated cardiomyopathy associated with morbid obesity and possible difficult airway presenting for elective Cesarean section, which was successfully managed with combined spinal-epidural anesthesia. Clinical features: A morbidly obese parturient with a potentially difficult airway, suffering from idiopathic peripartum cardiomyopathy (ejection fraction 20%), was scheduled for an elective Cesarean section. A combined spinal epidural anesthesia was performed and 6 mg of bupivacaine were injected into the subarachnoid space. This was supplemented after 60 min with 25 mg of bupivacaine injected epidurally. The patient’s hemodynamic status was monitored with direct intra-arterial blood pressure and central venous pressure measurements. The patient’s perioperative course was uneventful. Conclusion: In patients suffering from peripartum cardiomyopathy, undergoing Cesarean section, combined spinal-epidural anesthesia may be an acceptable anesthetic alternative.
Original language | English (US) |
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Pages (from-to) | 681-683 |
Number of pages | 3 |
Journal | Canadian Journal of Anesthesia |
Volume | 48 |
Issue number | 7 |
DOIs | |
State | Published - 2001 |
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine