Continuous Spinal Anesthesia for Labor Analgesia and Cesarean Delivery in a Parturient With Familial Dilated Cardiomyopathy: A Case Report

被引：0
|
作者：
Sugita, Michiko [1 ]
Shimizu, Kazuko [1 ]
Hirata, Naoyuki [1 ]
机构：
[1] Kumamoto Univ Hosp, Dept Anesthesiol, Kumamoto, Japan
来源：
CUREUS JOURNAL OF MEDICAL SCIENCE | 2023年 / 15卷 / 11期
关键词：
ppcm; continuous spinal anesthesia; cesarean delivery; labor analgesia; familial dilated cardiomyopathy; MANAGEMENT;
D O I：
10.7759/cureus.48877
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We report a case of successful continuous spinal anesthesia (CSA) for labor analgesia and cesarean delivery in a patient with familial dilated cardiomyopathy (DCM). A 33-year-old pregnant woman diagnosed with DCM was scheduled for a vaginal delivery under labor analgesia. An accidental intrathecal catheter was placed, and labor analgesia was provided by CSA. The vaginal delivery was converted to a cesarean delivery, and an intrathecal catheter was used for transition, which avoided hemodynamic changes and allowed the patient to safely undergo cesarean delivery. CSA is a reliable and rapidly titratable technique that provides excellent analgesia without hemodynamic changes in patients with DCM undergoing labor analgesia and subsequent cesarean delivery.
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页数：4
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