Key result
General anesthesia safely manages emergency cesarean section in peripartum cardiomyopathy without adverse complications.
Case Report (n=1)
No
Careful anesthetic management focusing on hemodynamics and oxygenation allows for safe emergency cesarean section under general anesthesia in patients with peripartum cardiomyopathy.
Case supports feasibility of general anesthesia for cesarean in peripartum cardiomyopathy; Level 5 evidence leaves broader application open.
Peripartum cardiomyopathy (PPCM) is an unusual form of dilated cardiomyopathy which manifests as acute heart failure in the last trimester of pregnancy or early postpartum period. Choice of anaesthesia is based on the urgency of lower segment caesarean section and severity of PPCM. Here we report a 31year old female G3P2L2 36weeks + 2days diagnosed as Peripartum Cardiomyopathy came with complaints of leaking per vagina was taken up for emergency caesarean section under general anaesthesia.In this case report,we discuss the anaesthetic management of a case of PPCM posted for emergency caesarean section with intra-operative event of desaturation. Anaesthetic management was directed towards optimization of desaturation,myocardial contractility,preload and after load.No adverse events or complications were observed.
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S et al. (2023) conducted a case report in Peripartum cardiomyopathy (n=1). General anesthesia was evaluated on Maternal and fetal outcome. General anesthesia was successfully administered for an emergency cesarean section in a patient with peripartum cardiomyopathy, with an intraoperative desaturation event managed effectively and no adverse complications.
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