• Kathmandu Univ Med J (KUMJ) · Oct 2006

    Case Reports

    Peripartum cardiomyopathy undergoing caesarean section under epidural anaesthesia.

    • B R Shrestha and C Thapa.
    • Department of Anaesthesiology, KMCTH, Kathmandu, Nepal. barashrestha@yahoo.co.in
    • Kathmandu Univ Med J (KUMJ). 2006 Oct 1;4(4):503-5.

    PurposeTo report a case of peripartum dilated cardiomyopathy presenting for emergency caesarean section, this was successfully managed with Epidural Anaesthesia.Clinical FeaturesA 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 13 ml was injected into the epidural space. The patient's haemodynamic status was monitored with NIBP, ECG, pulse oximetry. Patient's perioperative course was uneventful.ConclusionIn patients suffering from peripartum cardiomyopathy, undergoing caesarean section epidural anaesthesia is an acceptable anaesthetic alternative.

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