March 1, 2002Acta Anaesthesiologica Scandinavica

Continuous spinal analgesia for labor and delivery in a parturient with hypertrophic obstructive cardiomyopathy

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Population

30-year-old primiparous patient with hypertrophic obstructive cardiomyopathy at 38 weeks' gestation with…

Design

Case_report

Follow-up

Duration of labor and delivery

Authors

TOToshiyuki OkutomiKitasato University Hospital SKShiro KikuchiTEPCO (Japan)KAKinjiro AmanoUniversity of Manchester

Discussion

Member takes

Implication

May inform select HOCM cases; hypothesis-generating case report requiring prospective validation.

Structured PICO

Population

30-year-old primiparous patient with hypertrophic obstructive cardiomyopathy (HOCM) at 38 weeks' gestation with intrauterine growth restriction, n=1

Intervention

Continuous spinal analgesia via catheter with continuous infusion of fentanyl and supplemental meperidine, plus fetal surveillance monitoring including fetal pulse oximetry and cardiotocography

Outcome

Hemodynamic stability and successful management of labor analgesiasafety

Continuous spinal analgesia with fentanyl and meperidine can be safely used for labor in patients with HOCM to avoid hemodynamic instability associated with local anesthetics.

Cite This Study

Okutomi et al. (2002) studied this question.

synapsesocial.com/papers/6a7c20720449e558d7c2d388 https://doi.org/10.1034/j.1399-6576.2002.t01-1-460317.x

Topics

Hypertrophic cardiomyopathy

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Continuous spinal analgesia for labor and delivery in a parturient with hypertrophic obstructive cardiomyopathy

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Continuous spinal analgesia for labor and delivery in a parturient with hypertrophic obstructive cardiomyopathy

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider