Continuous spinal analgesia for labor and delivery in a parturient with hypertrophic obstructive cardiomyopathy

Toshiyuki Okutomi, S. Kikuchi, K. Amano, H. Okamoto, S. Hoka

Research output: Contribution to journalArticlepeer-review

13 Citations (Scopus)

Abstract

Induction of labor under analgesia was planned for a 30-year-old-primiparous patient with hypertrophic obstructive cardiomyopathy (HOCM), as her fetal evaluation revealed intrauterine growth restriction at 38 weeks' gestation. However, regional analgesia during labor may present a potential risk for hemodynamic instability in patients with HOCM due to the possibility of a sympathetic block, as a result of vasodilation associated with the administration of local anesthesia. This case report demonstrates the successful management of the patient with analgesia provided by a continuous spinal catheter dosed with a continuous infusion of fentanyl and supplemental meperidine. Fetal surveillance monitoring included fetal pulse oximetry in addition to conventional cardiotocography, on the basis of which cesarean section was avoided.

Original languageEnglish
Pages (from-to)329-331
Number of pages3
JournalActa Anaesthesiologica Scandinavica
Volume46
Issue number3
DOIs
Publication statusPublished - 2002

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Fingerprint Dive into the research topics of 'Continuous spinal analgesia for labor and delivery in a parturient with hypertrophic obstructive cardiomyopathy'. Together they form a unique fingerprint.

Cite this