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

Abstract
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.
Description
Keywords
Anesthetic management, epidural volume extension technique, peripartum cardiomyopathy
Citation
Tiwari Akhilesh Kumar, Agrawal Jitendra, Tayal Swapnil, Chadha Madhur, Singla Anuja, Valson Grace, Tomar Gaurav Singh. Anesthetic management of peripartum cardiomyopathy using "epidural volume extension" technique: A case series. Annals of Cardiac Anaesthesia. 2012 Jan; 15(1): 44-46.