Use of remifentanil in a patient with peripartum cardiomyopathy requiring Caesarean section

McCarroll, C.; Paxton, L. D.; Elliott, Paul I. P.; Wilson, Darrin S

doi:10.1093/bja/86.1.135

Cited by 54 publications

(34 citation statements)

References 15 publications

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“…3;4 Recent case reports have suggested that remifentanil may be useful in the management of high-risk parturients requiring caesarean section under general anaesthesia. [5][6][7][8][9][10][11][12] We report the use of remifentanil for general anaesthesia in four parturients with critical aortic stenosis undergoing caesarean section.…”

Section: Introductionmentioning

confidence: 99%

General anaesthesia using remifentanil for caesarean section in parturients with critical aortic stenosis: a series of four cases

Orme

Grange

Ainsworth

et al. 2004

International Journal of Obstetric Anesthesia

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Section: Introductionmentioning

confidence: 99%

General anaesthesia using remifentanil for caesarean section in parturients with critical aortic stenosis: a series of four cases

Orme

Grange

Ainsworth

et al. 2004

International Journal of Obstetric Anesthesia

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“…5 Insertion of a PA catheter was complicated by complete heart block, but resolved with removal of the catheter. This case report is interesting because it addresses the concern for neonatal well-being when using opioid-based regimens for maternal reasons.…”

mentioning

confidence: 99%

Peripartum cardiomyopathy and thromboembolism; anesthetic management and clinical course of an obese, diabetic patient

Kaufman

Bondy

Benjamin

2003

Can J Anesth/J Can Anesth

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P Pu ur rp po os se e: : To describe the anesthetic management and clinical course of a patient with peripartum cardiomyopathy. We highlight the frequent occurrence of thromboembolic morbidity in this group of parturients, emphasizing the need for early consideration of prophylactic anticoagulation.C Cl li in ni ic ca al l f fe ea at tu ur re es s: : A 38-yr-old, diabetic, obese parturient was admitted with pulmonary edema and severe orthopnea at 31 weeks gestation. The respiratory rate was 44 breaths·min and rales were heard in both lung fields. The diagnosis of peripartum cardiomyopathy was made based on sinus tachycardia with no evidence of ischemia on the electrocardiogram, and global left ventricular hypokinesis with an ejection fraction of 40-45% noted on transthoracic echocardiography. Cesarean delivery was planned to improve maternal respiratory status and hemodynamics. General anesthesia with invasive monitoring was planned, and surgery and anesthesia proceeded uneventfully. Less than 24 hr postoperatively, she sustained a thrombotic cerebral infarct leaving her hemiparetic and dysarthric. Subsequent investigations revealed a thrombophilic state due to elevated anticardiolipin antibody.C Co on nc cl lu us si io on n: : General anesthesia is an acceptable option in parturients with heart failure secondary to cardiomyopathy. Thromboembolic complications are common, and early consideration should be given to prophylactic anticoagulation. Objectif

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“…They concluded that hemodynamic response during general anaesthesia using appropriate agents is more predictable than seen in RA. 9 GA is used when RA is contraindicated, like in anticoagulated patients and in emergency situations. 5,10 We can use both JSAN 2016; 3 (1)…”

Section: Discussionmentioning

confidence: 99%

Anaesthetic management of emergency caesarean section in a patient with peripartum cardiomyopathy under general anaesthesia - a case report

Raj

Priti

Quari

2016

J. Soc. Anesth. Nep.

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Peripartum cardiomyopathy is a unique and rare kind of cardiomyopathy of unknown cause that occurs during pregnancy or the postpartum period. Regional anaesthesia for anaesthetic management of this condition has been extensively described. There are limited reports of anaesthetic management of caesarean section of this case under general anaesthesia. We report a case of 32 years old lady diagnosed to have peripartum cardiomyopathy requiring emergency caesarean section that was successfully managed under general anaesthesia. Anaesthetic management was directed towards optimization of myocardial contractility, preload and after load.

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Use of remifentanil in a patient with peripartum cardiomyopathy requiring Caesarean section

Cited by 54 publications

References 15 publications

General anaesthesia using remifentanil for caesarean section in parturients with critical aortic stenosis: a series of four cases

General anaesthesia using remifentanil for caesarean section in parturients with critical aortic stenosis: a series of four cases

Peripartum cardiomyopathy and thromboembolism; anesthetic management and clinical course of an obese, diabetic patient

Anaesthetic management of emergency caesarean section in a patient with peripartum cardiomyopathy under general anaesthesia - a case report

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