Use of remifentanil in a patient with peripartum cardiomyopathy requiring Caesarean section

被引:38
作者
McCarroll, CP [1 ]
Paxton, LD [1 ]
Elliott, P [1 ]
Wilson, DB [1 ]
机构
[1] Royal Victoria Hosp, Dept Clin Anaesthesia, Belfast BT12 6BA, Antrim, North Ireland
关键词
anaesthesia; obstetric; complications; cardiomyopathy; analgesics opioid; remifentanil;
D O I
10.1093/bja/86.1.135
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We describe a case of a 26 yr old primigravida at 39 weeks' gestation, with a diagnosis of peripartum cardiomyopathy, requiring urgent Caesarean section. The patient presented in severe heart failure and active labour. A general anaesthetic, using a target-controlled infusion of propofol and an intravenous infusion of remifentanil, was used to provide stable anaesthesia and analgesia for a successful delivery. The unusual diagnosis of peripartum cardiomyopathy and the potential benefits of the use of remifentanil in high-risk obstetric surgery are discussed.
引用
收藏
页码:135 / 138
页数:4
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