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

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

研究成果: Contribution to journalArticle査読

13 被引用数 (Scopus)

抄録

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.

本文言語英語
ページ(範囲)329-331
ページ数3
ジャーナルActa Anaesthesiologica Scandinavica
46
3
DOI
出版ステータス出版済み - 2002

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

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