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[Epidural anesthesia for cesarean section in a patient with dilated cardiomyopathy (DCM)]
T Fukuda1, S Nakayama, M Miyabe
1Department of Anesthesiology, Tsukuba University.
Masui. the Japanese Journal of Anesthesiology
|December 10, 1999
Abstract:
A 23-year-old patient with dilated cardio myopathy (DCM) was scheduled for a cesarean section. We inserted an epidural catheter at the L 2/3 interspace and injected 1.5% lidocaine 6 ml with epinephrine 30 micro g and fentanyl 50 micro g. The analgesic level 15 minutes after injection was achieved up to the eighth thoracic dermatome. Dopamin 5 micro g.kg-1.min-1 was infused simultaneously. Analgesia was sufficient for the surgery, and heart rate and blood pressure were stable throughout the operation. The infant's apgar scores were 9 and 10. Epidural anesthesia is one of the options for cesarean section in pregnant women with DCM.