Takayasu aortoarteritis with dilated cardiomyopathy: anesthetic management of labor analgesia

Acta Anaesthesiologica Taiwanica : Official Journal of the Taiwan Society of Anesthesiologists
Renu Sinha, Vimi Rewari

Abstract

Takayasu aortoarteritis in a pregnant patient is often associated with severe life-threatening complications. The coexistence of associated dilated cardiomyopathy can further complicate the pregnancy, particularly during parturition and at the time of delivery. We describe the management of labor analgesia in a symptomatic parturient suffering from advanced Takayasu aortoarteritis with dilated cardiomyopathy and a recent episode of congestive cardiac failure. The patient was man-aged with graded epidural analgesia instituted early in labor. Intermittent boluses of 0.0625% bupivacaine with 2 microg/mL fentanyl were administered epidurally, which provided adequate analgesia without impaired hemodynamic status.

References

Mar 21, 1998·American Journal of Obstetrics and Gynecology·C S Brown, B D Bertolet
Oct 19, 2001·Anesthesiology·M C NorrisC Conway-Long
Apr 26, 2006·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Don A Frost, James A Dolak

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Citations

Feb 18, 2017·Journal of Investigative Medicine High Impact Case Reports·Sean Patrick CliffordBrian Matthew Derhake

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