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  • Title: Peripartum cardiomyopathy undergoing caesarean section under epidural anaesthesia.
    Author: Shrestha BR, Thapa C.
    Journal: Kathmandu Univ Med J (KUMJ); 2006; 4(4):503-5. PubMed ID: 18603963.
    Abstract:
    PURPOSE: To report a case of peripartum dilated cardiomyopathy presenting for emergency caesarean section, this was successfully managed with Epidural Anaesthesia. CLINICAL FEATURES: 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. CONCLUSION: In patients suffering from peripartum cardiomyopathy, undergoing caesarean section epidural anaesthesia is an acceptable anaesthetic alternative.
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