Anaesthetic management and non-invasive monitoring for caesarean section in a patient with cardiomyopathy.
This paper describes the anaesthetic management of a 29-year-old woman for an elective repeat Caesarean section. A diagnosis of peripartum cardiomyopathy (PPCM) had been made after her first delivery by Caesarean section three years earlier. Although the patient was currently asymptomatic, recent echocardiography demonstrated persistent left ventricular dilatation. The choice of haemodynamic monitors and the clinical significance of PPCM in this situation are discussed.
Gambling
D R
DR
Department of Anaesthesia, University of British Columbia, Vancouver.
Flanagan
M L
ML
Huckell
V F
VF
Lucas
S B
SB
Kim
J H
JH
D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D002311:Cardiomyopathy, Dilated / Q000503:physiopathology*; D002585:Cesarean Section; D005260:Female; D006439:Hemodynamics; D006801:Humans; D008012:Lidocaine; D008991:Monitoring, Physiologic; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000503:physiopathology*; D011263:Pregnancy Trimester, Third; D012086:Reoperation
D008012:Lidocaine