Anaesthetic Management of a case of Cesarean Section with Peripartum Cardiomyopathy

Abstract

We report a case of 28 year old female presenting for an emergency cesarean section with an established diagnosis of peripartum cardiomopathy. Surgery was successfully accomplished under epidural anaesthesia using 15 ml. of 0.5% Bupivacaine, administered in increments. Patient was monitored intra-operatively with Noninvasive blood pressure, pulse oximetry and continuous ECG. Patient's peri-operative course was uneventful. Therefore, it is concluded that in patients with peripartum cardiomyopathy, coming for cesarean section, epidural anaesthesia administered in increments is a safe, acceptable and a better anaesthetic option. JMS 2012;15(1):69-71.