Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2741550 | Acta Anaesthesiologica Taiwanica | 2010 | 4 Pages |
Abstract
Takayasu aortoarteritis in a pregnant patient is often associated with severe life-threatening complications. The coexistence of associated dilated cardiomyopathy can further complicate the pregnancy, particularly during parturition and at the time of delivery. We describe the management of labor analgesia in a symptomatic parturient suffering from advanced Takayasu aortoarteritis with dilated cardiomyopathy and a recent episode of congestive cardiac failure. The patient was man-aged with graded epidural analgesia instituted early in labor. Intermittent boluses of 0.0625% bupivacaine with 2 μg/mL fentanyl were administered epidurally, which provided adequate analgesia without impaired hemodynamic status.
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