Cesarean Section in patients with Hypertrophy Cardiomyopathy done under epidural anesthesia- case series.
Journal Title: Journal of Indira Gandhi Institute of Medical Sciences - Year 2016, Vol 2, Issue 1
Abstract
Hypertrophic cardiomyopathy is characteristically associated with asymmetric hypertrophy of interventricular septum causing partial obstruction of the left ventricular outflow and reducing ejection fraction. Since Hypertrophic cardiomyopathy is the most common genetic cardiovascular disease, it is very commonly encountered by anesthesiologist during preoperative examination. Surgery and anesthesia often complicate the perioperative outcome if adequate monitoring and proper care are not taken. General anaesthesia is considered safer because of more cantrolled hemodynamics. Regional anesthesia is considered to be dangerous in these patients, especially in those with obstructive HCM, vasodilation associated with sympathetic blockade of the lower extremities may lead to a critical reduction of preload and afterload. Nevertheless, epidural anesthesia has been used safely for vaginal delivery in patients with HCM. Our report indicates that cesarean section also may be managed safely with epidural anesthesia in patients with HCM, by taking precaution.
Authors and Affiliations
Swati Singh, V. K. Verma, Arvind Kumar
Keywords
Related Articles
- EP ID EP288810
- DOI -
- Views 97
- Downloads 0
ARTHROSCOPIC RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT (ACL) IN IGIMS: ONE YEAR FOLLOW UP
¬¬¬¬¬¬¬¬Abstract Purpose. To review the results of patients who underwent arthroscopic reconstruction of the anterior cruciate ligament (ACL) done in IGIMS. Methods. Patients having symptomatic ACL-deficient knees and...
Role of Gynecological Oncologist to provide Quality Care and improve outcome of females with Gynecological Cancers. Sangeeta Pankaj
The development of gynecologic oncology as a specialty has contributed to the progress of the treatment and management of women with genital cancers. The trend of conservative surgery has led to an improved quality of li...
Large Occipital Encephalocele with limited resources an anaesthetic challenge.
Abstract Meningoencephalocele is hernial protrusion from congenital bony defect in skull of part of meninges and neural elements in a sac. The large head size and other anticipated congenital abnormalities posses a grea...
Early short segment spinal fixation in traumatic paraplegia: Our experience at IGIMS
Abstract Background Dorsolumbar segment is more mobile and become more unstable spine after the injury. The goal of our treatment is early neural decompression with stable rigid internal fixation using pedicular screws....
Coiling of central venous catheter in subcutaneous tissue during insertion.
The use of central venous catheterisation is common in the setting of ICU and operation theatres for monitoring of CVP, fluid administration and drug infusions. In our hospital according to census approximately 20,000...