Key result
Etomidate and fentanyl induction safely enables emergency C-section without adverse outcomes in peripartum cardiomyopathy.
Case Report (n=1)
General anaesthesia induced with etomidate and fentanyl was safely used for an emergency caesarean section in a patient with peripartum cardiomyopathy complicated by heart failure and pulmonary oedema.
May support etomidate-fentanyl induction in peripartum cardiomyopathy caesarean; hypothesis-generating and requires prospective validation.
Anaesthetic management for caesarean section of a patient with peripartum cardiomyopathy (PPCM) can be challenging. These require analgesia/anaesthesia for normal delivery or caesarean section. In this case report we describe the anaesthetic of a 20-year-old patient at 37 weeks of gestation, with peripartum cardiomyopathy, heart failure and pulmonary . She was scheduled for emergency caesarean section because of a threat to mother’s life and fetal distress. GA was with Etomidate and fentanyl safely. No adverse outcome on mother or new born was observed.
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G et al. (2016) conducted a case report in Peripartum cardiomyopathy (n=1). General anaesthesia induced with Etomidate and fentanyl was evaluated on Maternal and fetal outcomes. General anaesthesia induced with Etomidate and fentanyl was safely administered for an emergency caesarean section in a patient with peripartum cardiomyopathy, with no adverse outcomes observed.
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