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KMID : 0356920070520050605
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Korean Journal of Anesthesiology
2007 Volume.52 No. 5 p.605 ~ p.608
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Combined Spinal-epidural Anesthesia for Cesarean Section in a Patient with Peripartum Cardiomyopathy ?A case report?
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Park Hee-Yeon
Goo Eui-Kyoung
Do Sang-Hwan
Park Kum-Suk
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Abstract
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Peripartum cardiomyopathy (PPCM) is a rare form of cardiomyopathy associated with a significant morbidity and mortality. The anesthetic management of a Cesarean section in patients with PPCM has not been well defined. Herein, our experience of a 31-year-old multipara, with recurrent PPCM and congestive heart failure, who presented for an elective cesarean section, is reported. Combined spinal-epidural anesthesia was successfully employed as the anesthetic technique for the procedure. The intra-arterial blood pressure and central venous pressure were monitored throughout the procedure. In addition, the patient’s postoperative pain was markedly reduced with the use of epidural PCA. Combined spinal-epidural anesthesia is suggested to be a reliable technique, which provides minimal hemodynamic changes, and a lower failure rate than epidural anesthesia only, and is also highly effective with a low dose of local anesthetic drug. (Korean J Anesthesiol 2007; 52: 605∼8)
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KEYWORD
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cesarean section, combined spinal-epidural anesthesia, peripartum cardiomyopathy
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