title: Peripartum cardiomyopathy undergoing caesarean section under epidural anaesthesia.
abstract: OBJECTIVE
  To report a case of peripartum dilated cardiomyopathy presenting for emergency caesarean section, this was successfully managed with Epidural Anaesthesia.
  
  
  METHODS
  A parturient suffering from idiopathic peripartum cardiomyopathy (E.F. 18%) was brought for an emergency caesarean section. Epidural anaesthesia was performed and 2% Lignocaine with adrenaline total 13 ml was injected into the epidural space. The patient's haemodynamic status was monitored with NIBP, ECG, pulse oximetry. Patient's perioperative course was uneventful.
  
  
  CONCLUSIONS
  In patients suffering from peripartum cardiomyopathy, undergoing caesarean section epidural anaesthesia is an acceptable anaesthetic alternative.
authors.affiliation: Department of Anaesthesiology, KMCTH, Kathmandu, Nepal. barashrestha@yahoo.co.in
authors.forename: B R
authors.initials: BR
authors.lastname: Shrestha
authors.forename: C
authors.initials: C
authors.lastname: Thapa
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D002311:Cardiomyopathy, Dilated; D002585:Cesarean Section; D005260:Female; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular