Use of remifentanil in a patient with peripartum with cardiomyopathy requiring Caesarean section

We describe a case of a 26 yr old primigravida at 39 weeks' gestation, with a diagnosis of peripartum cardiomyopathy, requiring urgent Caesarean section. The patient presented in severe heart failure and active labour. A general anaesthetic, using a target-controlled infusion of propofol and an...

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Bibliographic Details
Published inBritish journal of anaesthesia : BJA Vol. 86; no. 1; p. 135
Main Authors McCarroll, C P, Paxton, L D, Elliott, P, Wilson, D B
Format Journal Article
LanguageEnglish
Published London Oxford Publishing Limited (England) 01.01.2001
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Summary:We describe a case of a 26 yr old primigravida at 39 weeks' gestation, with a diagnosis of peripartum cardiomyopathy, requiring urgent Caesarean section. The patient presented in severe heart failure and active labour. A general anaesthetic, using a target-controlled infusion of propofol and an intravenous infusion of remifentanil, was used to provide stable anaesthesia and analgesia for a successful delivery. The unusual diagnosis of peripartum cardiomyopathy and the potential benefits of the use of remifentanil in high-risk obstetric surgery are discussed.
ISSN:0007-0912
1471-6771