Epidural anesthesia for cesarean section in a patient with dilated cardiomyopathy (DCM)
Fukuda, T.; Nakayama, S.; Miyabe, M.; Toyooka, H.
Masui. Japanese Journal of Anesthesiology 48(11): 1229-1231
1999
ISSN/ISBN: 0021-4892 PMID: 10586557 Document Number: 507865
A 23-year-old patient with dilated cardio myopathy (DCM) was scheduled for a cesarean section. We inserted an epidural catheter at the L 2/3 interspace and injected 1.5% lidocaine 6 ml with epinephrine 30 micro g and fentanyl 50 micro g. The analgesic level 15 minutes after injection was achieved up to the eighth thoracic dermatome. Dopamin 5 micro g cntdot kg-1 cntdot min-1 was infused simultaneously. Analgesia was sufficient for the surgery, and heart rate and blood pressure were stable throughout the operation. The infant's apgar scores were 9 and 10. Epidural anesthesia is one of the options for cesarean section in pregnant women with DCM.