• Br J Anaesth · Jan 2001

    Case Reports

    Use of remifentanil in a patient with peripartum cardiomyopathy requiring Caesarean section.

    • C P McCarroll, L D Paxton, P Elliott, and D B Wilson.
    • Department of Clinical Anaesthesia, Royal Victoria Hospital, Belfast, UK.
    • Br J Anaesth. 2001 Jan 1;86(1):135-8.

    AbstractWe describe a case of a 26 yr old primigravida at 39 weeks' gestation, with a diagnosis of peripartum cardiomyopathy, requiring urgent Caesarean section. The patient presented in severe heart failure and active labour. A general anaesthetic, using a target-controlled infusion of propofol and an intravenous infusion of remifentanil, was used to provide stable anaesthesia and analgesia for a successful delivery. The unusual diagnosis of peripartum cardiomyopathy and the potential benefits of the use of remifentanil in high-risk obstetric surgery are discussed.

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