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

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

Research output: Contribution to journalArticle

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 - Apr 10 2002

Fingerprint

Hypertrophic Cardiomyopathy
Analgesia
Parturition
Cardiotocography
Induced Labor
Fetal Monitoring
Meperidine
Oximetry
Fentanyl
Local Anesthesia
Vasodilation
Cesarean Section
Catheters
Hemodynamics
Pregnancy
Growth

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Cite this

Continuous spinal analgesia for labor and delivery in a parturient with hypertrophic obstructive cardiomyopathy. / Okutomi, Toshiyuki; Kikuchi, S.; Amano, K.; Okamoto, H.; Hoka, Sumio.

In: Acta Anaesthesiologica Scandinavica, Vol. 46, No. 3, 10.04.2002, p. 329-331.

Research output: Contribution to journalArticle

Okutomi, Toshiyuki ; Kikuchi, S. ; Amano, K. ; Okamoto, H. ; Hoka, Sumio. / Continuous spinal analgesia for labor and delivery in a parturient with hypertrophic obstructive cardiomyopathy. In: Acta Anaesthesiologica Scandinavica. 2002 ; Vol. 46, No. 3. pp. 329-331.
@article{944bc77c62004471a98a8b15d55ad16c,
title = "Continuous spinal analgesia for labor and delivery in a parturient with hypertrophic obstructive cardiomyopathy",
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.",
author = "Toshiyuki Okutomi and S. Kikuchi and K. Amano and H. Okamoto and Sumio Hoka",
year = "2002",
month = "4",
day = "10",
doi = "10.1034/j.1399-6576.2002.t01-1-460317.x",
language = "English",
volume = "46",
pages = "329--331",
journal = "Acta Anaesthesiologica Scandinavica",
issn = "0001-5172",
publisher = "Blackwell Munksgaard",
number = "3",

}

TY - JOUR

T1 - Continuous spinal analgesia for labor and delivery in a parturient with hypertrophic obstructive cardiomyopathy

AU - Okutomi, Toshiyuki

AU - Kikuchi, S.

AU - Amano, K.

AU - Okamoto, H.

AU - Hoka, Sumio

PY - 2002/4/10

Y1 - 2002/4/10

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=0036210857&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036210857&partnerID=8YFLogxK

U2 - 10.1034/j.1399-6576.2002.t01-1-460317.x

DO - 10.1034/j.1399-6576.2002.t01-1-460317.x

M3 - Article

C2 - 11939926

AN - SCOPUS:0036210857

VL - 46

SP - 329

EP - 331

JO - Acta Anaesthesiologica Scandinavica

JF - Acta Anaesthesiologica Scandinavica

SN - 0001-5172

IS - 3

ER -