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Anesthetic management of peripartum cardiomyopathy using "epidural volume extension" technique: A case series


1 Department of anaesthesia and critical care, St. Stephen's Hospital, Tees Hazari, New Delhi, India
2 Department of Anaesthesiology, G.R. Medical college, Gwalior, MP, India

Correspondence Address:
Akhilesh Kumar Tiwari
Opposite SAI Sub Center, Post Sarojini Nagar, Shanti Nagar, Kanpur Road, Lucknow, UP - 226 008
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.91481

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Year : 2012  |  Volume : 15  |  Issue : 1  |  Page : 44-46

 

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Peripartum cardiomyopathy is a rare cause of dilated cardiomyopathy in parturients, occurring in approximately one in 1000 deliveries, manifesting during the last few months or the first 5 months of the postpartum period. It can result in severe ventricular dysfunction during late puerperium. The major concern while managing these patients is to optimize fluid administration and avoid myocardial depression, while maintaining stable intraoperative hemodynamics. We present a case series of five parturients that were posted for elective cesarean section and managed successfully by the epidural volume extension technique.






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1 Department of anaesthesia and critical care, St. Stephen's Hospital, Tees Hazari, New Delhi, India
2 Department of Anaesthesiology, G.R. Medical college, Gwalior, MP, India

Correspondence Address:
Akhilesh Kumar Tiwari
Opposite SAI Sub Center, Post Sarojini Nagar, Shanti Nagar, Kanpur Road, Lucknow, UP - 226 008
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.91481

Rights and Permissions

Peripartum cardiomyopathy is a rare cause of dilated cardiomyopathy in parturients, occurring in approximately one in 1000 deliveries, manifesting during the last few months or the first 5 months of the postpartum period. It can result in severe ventricular dysfunction during late puerperium. The major concern while managing these patients is to optimize fluid administration and avoid myocardial depression, while maintaining stable intraoperative hemodynamics. We present a case series of five parturients that were posted for elective cesarean section and managed successfully by the epidural volume extension technique.






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