Key result
Epidural volume extension successfully manages elective C-section in 5 patients with PPCM.
Why the study?
Does the epidural volume extension technique allow for successful anesthetic management in parturients with peripartum cardiomyopathy undergoing elective cesarean section?
Case Report (n=5)
Does the epidural volume extension technique allow for successful anesthetic management in parturients with peripartum cardiomyopathy undergoing elective cesarean section?
The epidural volume extension technique may be a successful anesthetic strategy for managing parturients with peripartum cardiomyopathy undergoing elective cesarean section.
Answers are grounded in this paper and cite their sources.
Should not yet change peripartum cardiomyopathy anesthesia practice; hypothesis-generating case series warrants prospective validation.
Peripartum cardiomyopathy is a rare cause of dilated cardiomyopathy in parturients, occurring in approximately one in 1000 deliveries, manifesting during the last few months or the first 5 months of the postpartum period. It can result in severe ventricular dysfunction during late puerperium. The major concern while managing these patients is to optimize fluid administration and avoid myocardial depression, while maintaining stable intraoperative hemodynamics. We present a case series of five parturients that were posted for elective cesarean section and managed successfully by the epidural volume extension technique.
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Tiwari et al. (2012) conducted a case report in Peripartum cardiomyopathy (n=5). Epidural volume extension technique was evaluated on Successful management. The epidural volume extension technique was successfully used to manage five parturients with peripartum cardiomyopathy undergoing elective cesarean section.
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