title: [Epidural anesthesia for cesarean section in a patient with dilated cardiomyopathy (DCM)].
abstract: A 23-year-old patient with dilated cardio myopathy (DCM) was scheduled for a cesarean section. We inserted an epidural catheter at the L 2/3 interspace and injected 1.5% lidocaine 6 ml with epinephrine 30 micro g and fentanyl 50 micro g. The analgesic level 15 minutes after injection was achieved up to the eighth thoracic dermatome. Dopamin 5 micro g.kg-1.min-1 was infused simultaneously. Analgesia was sufficient for the surgery, and heart rate and blood pressure were stable throughout the operation. The infant's apgar scores were 9 and 10. Epidural anesthesia is one of the options for cesarean section in pregnant women with DCM.
authors.affiliation: Department of Anesthesiology, Tsukuba University.
authors.forename: T
authors.initials: T
authors.lastname: Fukuda
authors.forename: S
authors.initials: S
authors.lastname: Nakayama
authors.forename: M
authors.initials: M
authors.lastname: Miyabe
authors.forename: H
authors.initials: H
authors.lastname: Toyooka
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D002311:Cardiomyopathy, Dilated / Q000150:complications*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular