Document Detail


Continuous spinal anesthesia for cesarean section in a parturient with severe recurrent peripartum cardiomyopathy.
MedLine Citation:
PMID:  15321439     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The anesthetic management of labor and delivery in patients with peripartum cardiomyopathy is not well defined. Using continuous spinal anesthesia in such a rare clinical situation has not been previously reported. A patient with recurrent peripartum cardiomyopathy presented in congestive heart failure for emergent cesarean section. Continuous spinal anesthesia was successfully employed as the anesthetic technique for the procedure. In addition, it also markedly reduced the patient's symptoms. Continuous spinal anesthesia is a reliable, rapidly titratable technique, which provides excellent analgesia with minimal undesirable hemodynamic changes for patients with peripartum cardiomyopathy undergoing cesarean delivery.
Authors:
I A Velickovic; C H Leicht
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International journal of obstetric anesthesia     Volume:  13     ISSN:  0959-289X     ISO Abbreviation:  Int J Obstet Anesth     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2004-08-23     Completed Date:  2004-10-18     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9200430     Medline TA:  Int J Obstet Anesth     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  40-3     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Western Pennsylvania Hospital, Pittsburgh, PA, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anesthesia, Obstetrical*
Anesthesia, Spinal*
Cardiomyopathy, Dilated / complications*,  drug therapy,  ultrasonography
Cardiotonic Agents / therapeutic use
Cesarean Section*
Digoxin / therapeutic use
Diuretics / therapeutic use
Echocardiography
Female
Furosemide / therapeutic use
Heart Failure / complications,  drug therapy,  ultrasonography
Hemodynamics / drug effects
Humans
Pregnancy
Recurrence
Chemical
Reg. No./Substance:
0/Cardiotonic Agents; 0/Diuretics; 20830-75-5/Digoxin; 54-31-9/Furosemide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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