Anaesthetic management of peripartum cardiomyopathy for emergency caesarean section: A case report
Öz
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
Anahtar Kelimeler
Kaynakça
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Ayrıntılar
Birincil Dil
İngilizce
Konular
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Bölüm
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Yayımlanma Tarihi
27 Haziran 2014
Gönderilme Tarihi
29 Temmuz 2013
Kabul Tarihi
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Yayımlandığı Sayı
Yıl 2014 Cilt: 36 Sayı: 2