Akhilesh Kumar Tiwari1, Jitendra Agrawal2, Swapnil Tayal1, Madhur Chadha1, Anuja Singla1, Grace Valson1, Gaurav Singh Tomar1
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
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.
Akhilesh Kumar Tiwari
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Source of Support: None, Conflict of Interest: None
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