Combined spinal-epidural analgesia for labor and delivery in a patient with known dilated cardiomyopathy -A case report-
Anesthesia and Pain Medicine 2014³â 9±Ç 4È£ p.282 ~ p.286
±èµµ¿¬(Kim Do-Yeon) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Anesthesiology and Pain Medicine
¹ÚÈ¿¿ø(Park Hyo-Won) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Anesthesiology and Pain Medicine
ÃÖ´öȯ(Choi Duck-Hwan) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Anesthesiology and Pain Medicine
Abstract
Dilated cardiomyopathy (DCM) is a multifactorial disease with enlargement and systolic dysfunction of one or both ventricles. Most of parturients having DCM would be advised to avoid or terminate her pregnancy owing to the high risk of cardiac overload that is likely associated with pregnancy. When maternal cardiac disease is observed, effective neuraxial analgesia may play an important role because a pain induced activation of the sympathetic nervous system during labor is associated with cardiovascular adverse effects, which may endanger the maternal and/or fetal well-being. Herein we report a case of a parturient with known DCM who received combined spinal-epidural anesthesia for labor and vaginal delivery. The maternal cardiac function and the effect of analgesia were evaluated by echocardiography during labor. (Anesth Pain Med 2014; 9: 282-286)
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Combined spinal-epidural anesthesia, Dilated cardiomyopathy, Labor
KMID :
1155520140090040282
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