Document Detail

Takayasu aortoarteritis with dilated cardiomyopathy: anesthetic management of labor analgesia.
MedLine Citation:
PMID:  20643370     Owner:  NLM     Status:  MEDLINE    
Takayasu aortoarteritis in a pregnant patient is often associated with severe life-threatening complications. The coexistence of associated dilated cardiomyopathy can further complicate the pregnancy, particularly during parturition and at the time of delivery. We describe the management of labor analgesia in a symptomatic parturient suffering from advanced Takayasu aortoarteritis with dilated cardiomyopathy and a recent episode of congestive cardiac failure. The patient was man-aged with graded epidural analgesia instituted early in labor. Intermittent boluses of 0.0625% bupivacaine with 2 microg/mL fentanyl were administered epidurally, which provided adequate analgesia without impaired hemodynamic status.
Renu Sinha; Vimi Rewari
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists     Volume:  48     ISSN:  1875-452X     ISO Abbreviation:  Acta Anaesthesiol Taiwan     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-07-20     Completed Date:  2010-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101214918     Medline TA:  Acta Anaesthesiol Taiwan     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  99-102     Citation Subset:  IM    
Copyright Information:
2010 Taiwan Society of Anesthesiologists. Published by Elsevier B.V. All rights reserved.
Department of Anesthesiology and Intensive Care, All India Institute of Medical Sciences, New Delhi, India.
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MeSH Terms
Analgesia, Epidural / methods*
Analgesia, Obstetrical / methods*
Cardiomyopathy, Dilated / complications*
Pregnancy Complications*
Takayasu Arteritis / complications*

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