title: Anaesthesia for emergency Caesarean section in a patient with peripartum cardiomypathy.
abstract: Peripartum cardiomyopathy (PPCM) is defined as the onset of acute heart failure without demonstrable cause in the last trimester of pregnancy or within the first six months after delivery. We report a case of PPCM (LVEF < 39%) in a 30-year-old housekeeper requiring emergency Caesarean section, who was successfully managed with combined spinal-epidural anesthesia, using low-dose fentanyl for the spinal anesthesia.
authors.affiliation: Department of Anesthesia, College of Medicine, University of Ibadan, Nigeria. drosinaike@yahoo.com
authors.forename: Babatunde
authors.initials: B
authors.lastname: Osinaike
authors.forename: Johnson
authors.initials: J
authors.lastname: Ogah
mesh_terms: D000759:Adjuvants, Anesthesia / Q000627:therapeutic use*; D000328:Adult; D000767:Anesthesia, Epidural / Q000379:methods; D000773:Anesthesia, Obstetrical / Q000379:methods*; D000775:Anesthesia, Spinal / Q000379:methods; D009202:Cardiomyopathies; D002585:Cesarean Section / Q000379:methods; D005260:Female; D005283:Fentanyl / Q000627:therapeutic use*; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular
chemical_list: D000759:Adjuvants, Anesthesia; D005283:Fentanyl