Key result
Single-shot spinal anaesthesia provides safe hemodynamic management in a patient with peripartum cardiomyopathy.
Case Report (n=1)
Single-shot spinal anaesthesia with low-dose bupivacaine and fentanyl, supported by vigilant monitoring and vasopressors, is a viable technique for emergency caesarean section in patients with peripartum cardiomyopathy.
Supports feasibility of low-dose spinal anesthesia in PPCM; hypothesis-generating and should not yet change practice.
Peripartum cardiomyopathy is a rare but life threatening condition.Anaesthetic management of a patient with peripartum cardiomyopathy for caesarean section is a major challenge for anaesthesiologist.Timely diagnosis of the condition, institution of appropriate medication regimen, a carefully chosen anaesthetic technique and vigilant perioperative monitoring are essential for optimizing outcome in these patients.The goals of anaesthetic management include maintenance of optimal ventricular preload and afterload while avoiding any anaesthesia induced myocardial depression.
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Bansal et al. (2014) conducted a case report in Peripartum cardiomyopathy (n=1). Spinal anaesthesia was evaluated on Maternal outcome and hemodynamic stability. Single-shot spinal anaesthesia using low-dose bupivacaine and fentanyl, supported by ephedrine and dopamine, provided safe and effective management for a patient with peripartum cardiomyopathy.
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