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2016, Number 1

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Correo Científico Médico 2016; 20 (1)

Anesthesia for pregnant patient with pregnancy associated cardiomyopathy

Labrada CYR, Bonet RO, Quesada FM, Garcés RE, Hernández DN

Language: Spanish
References: 10
Page: 214-222
PDF size: 66.69 Kb.


ABSTRACT

Pregnancy associated with cardiomyopathy or peripartum is a form of dilated cardiomyopathy. It is characterized by a heart failure in the last period of pregnancy or in the first six months postpartum. The clinical presentation is similar to a heart failure of any cause. Anesthetic management is very important in hemodynamic maintenance; this is accomplished by preventing myocardial depression produced by drugs. The anesthetic management in a patient with early presentation of peripartum cardiomyopathy was reported in this article. Patient was admitted to the anesthetic department at 32 weeks of gestation for emergency cesarean section requiring general anesthesia. Orotracheal General anesthetic technique was selected, he was premedicated with fentanyl midazolam + 1 µm/kg, Thiopental induction with 1% to 4 mg/kg and maintained with oxygen, nitrous oxide, fentanyl and vecuronium. At the end of the procedure, the neuromuscular blockade was reversed and the patient was extubated without complications.


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