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

来源：

BRITISH JOURNAL OF ANAESTHESIA | 2001年 / 86卷 / 01期

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

页码：135 / 138

页数：4

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