Key result
Incremental epidural bupivacaine provides an uneventful peri-operative course in a peripartum cardiomyopathy case.
Case Report (n=1)
No
Epidural anaesthesia administered in increments appears to be a safe option for patients with peripartum cardiomyopathy undergoing cesarean section.
Suggests incremental epidural as feasible option in peripartum cardiomyopathy cesarean delivery; hypothesis-generating and should not change practice.
We report a case of 28 year old female presenting for an emergency cesarean section with an established diagnosis of peripartum cardiomopathy. Surgery was successfully accomplished under epidural anaesthesia using 15 ml. of 0.5% Bupivacaine, administered in increments. Patient was monitored intra-operatively with Noninvasive blood pressure, pulse oximetry and continuous ECG. Patient's peri-operative course was uneventful. Therefore, it is concluded that in patients with peripartum cardiomyopathy, coming for cesarean section, epidural anaesthesia administered in increments is a safe, acceptable and a better anaesthetic option. JMS 2012;15(1):69-71.
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Nisa et al. (2012) conducted a case report in Peripartum cardiomyopathy (n=1). Epidural anaesthesia was evaluated on Peri-operative course. Epidural anaesthesia using 15 ml of 0.5% Bupivacaine administered in increments resulted in an uneventful peri-operative course for a 28-year-old female with peripartum cardiomyopathy.
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