Anaesthetic management of peripartum cardiomyopathy for emergency caesarean section: A case report
Abstract
Abstract
Peripartum cardiomyopathy is a rare but life threatening condition. Anaesthetic management of a patient with peripartum cardiomyopathy for caesarean section is a major challenge for anaesthesiologist. Timely diagnosis of the condition, institution of appropriate medication regimen, a carefully chosen anaesthetic technique and vigilant perioperative monitoring are essential for optimizing outcome in these patients. The goals of anaesthetic management include maintenance of optimal ventricular preload and afterload while avoiding any anaesthesia induced myocardial depression.
Keywords: Peripartum cardiomyopathy, caesarean secion, anaesthetic management
Özet
Peripartum kardiyomiyopati nadir ama hayatı tehdit eden bir durumdur. Sezaryan için peripartum kardiyomiyopatili bir hastanın anestezi yönetimi, anestiziyolog için büyük bir risktir. Zamanında tanı koymak, uygun tedavi rejiminin kurgulanması, dikkatle seçilmiş anestezi tekniği ve perioperatif izlem bu hastalardaki sonucu optimize etmek için önemlidir. Anestezi yönetiminin amacı, anestezi ile uyarılan miyokardiyal depresyondan sakınırken optimal ventriküler “preload” ve “afterload” un idamesini sağlamaktır.
Anahtar sözcükler: Peripartum kardiyomiyopati, sezaryan, anestezi yönetimi
Keywords
References
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Details
Primary Language
English
Subjects
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Journal Section
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Publication Date
June 27, 2014
Submission Date
July 29, 2013
Acceptance Date
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Published in Issue
Year 2014 Volume: 36 Number: 2