title: Anaesthetic management of peripartum cardiomyopathy using "epidural volume extension" technique: a case series.
abstract: Peripartum cardiomyopathy is a rare cause of dilated cardiomyopathy in parturients, occurring in approximately one in 1000 deliveries, manifesting during the last few months or the first 5 months of the postpartum period. It can result in severe ventricular dysfunction during late puerperium. The major concern while managing these patients is to optimize fluid administration and avoid myocardial depression, while maintaining stable intraoperative hemodynamics. We present a case series of five parturients that were posted for elective cesarean section and managed successfully by the epidural volume extension technique.
authors.affiliation: Department of anaesthesia and critical care, St. Stephen's Hospital, Tees Hazari, New Delhi, India. draktiwari11@gmail.com
authors.forename: Akhilesh Kumar
authors.initials: AK
authors.lastname: Tiwari
authors.forename: Jitendra
authors.initials: J
authors.lastname: Agrawal
authors.forename: Swapnil
authors.initials: S
authors.lastname: Tayal
authors.forename: Madhur
authors.initials: M
authors.lastname: Chadha
authors.forename: Anuja
authors.initials: A
authors.lastname: Singla
authors.forename: Grace
authors.initials: G
authors.lastname: Valson
authors.forename: Gaurav Singh
authors.initials: GS
authors.lastname: Tomar
mesh_terms: D000328:Adult; D000773:Anesthesia, Obstetrical / Q000379:methods*; D002311:Cardiomyopathy, Dilated / Q000503:physiopathology*; D002585:Cesarean Section; D005260:Female; D006439:Hemodynamics; D006801:Humans; D011247:Pregnancy; D011644:Puerperal Disorders / Q000503:physiopathology*