Low dose combined spinal-epidural anaesthesia for caesarean section in a patient with peripartum cardiomyopathy

被引：20
|
作者：
Pirlet, M [1 ]
Baird, M [1 ]
Pryn, S [1 ]
Jones-Ritson, M [1 ]
Kinsella, SM [1 ]
机构：
[1] St Michaels Hosp, Sir Humphry Davy Dept Anaesthesia, Bristol BS2 8EG, Avon, England
来源：
INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA | 2000年 / 9卷 / 03期
关键词：
D O I：
10.1054/ijoa.1999.0374
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
A patient with peripartum cardiomyopathy was scheduled for elective caesarean section after stabilization on medical therapy. Wer performed a combined spinal epidural using one ml 0.5% hyperbaric bupivacaine (5 mg) with 0.3 mg diamorphine for the spinal. The epidural was topped up with 10 mL bupivacaine 0.5%. Significant haemodynamic changes consisted of reduction in heart rate and hypotension after the spinal, and tachycardia after delivery. The benefits and risks of this approach are discussed. (C) 2000 Harcourt Publishers Ltd.
引用
收藏
页码：189 / 192
页数：4
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