Anesthetic management of a patient with dilated cardiomyopathy by combined spinal-epidural anesthesia (case report)
Dr. Türkan TOGAL*, Dr. Ayda TÜRKÖZ*, Dr. Ayşe KAFKASLI**, Dr. A.Kadir BUT*, Dr. M.Özcan ERSOY*
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Abstract
We reported the anesthetic management of caesarean section in a pregnant with dilated cardiomyopathy. She had no dyspnea and chest pain which were signs of congestive heart failure. Digitalis has been given to provide hemodynamic stabilization. Combined spinal-epidural block had been succesfully used in this case. There were no significant cardiovascular and respiratory changes in the mother and the baby during the operation. In the anesthesiological management of caesarean sections with dilated cardiomyopathy, combined spinal-epidural anesthesia can be used not only to minimize cardiovascular changes in the mother, but also to keep the neonate from respiratory depression.
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