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Peripartum cardiomyopathy undergoing caesarean section under epidural anaesthesia
1Department of Anaesthesiology, KMCTH, Kathmandu, Nepal. barashrestha@yahoo.co.in
Purpose:
To report a case of peripartum dilated cardiomyopathy presenting for emergency caesarean section, this was successfully managed with Epidural Anaesthesia.
Clinical Features:
A 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.
Conclusion:
In patients suffering from peripartum cardiomyopathy, undergoing caesarean section epidural anaesthesia is an acceptable anaesthetic alternative.
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