Anaesthetic management of peripartum cardiomyopathy for emergency caesarean section: A case report

Peripartum kardiyomyopati nadir ancak yaşamı tehdit eden bir durumdur. Peripartumkardiyomyopatisi olan bir hastanın sezaryen ameliyatı için anestezisinin yönetimi anestezistaçısından önemli bir sorundur.Durumun vaktinde tanı alması, uygun tedavi rejimininoluşturulması, dikkatlice seçilmiş anestezi tekniği ve dikkatli perioperatif monitorizasyonuygulanması bu hastaların tedavi sonuçlarının en iyi hale getirilmesi açısından önemlidir.Anesteziyönetiminin hedefleri optimal ventriküler preload ve afterload sağlarken anestezinin indüklediğiherhangi bir myokardiyal depresyondan kaçınmaktır.

Acil sezaryen operasyonunda peripartum kardiyomiyopatinin anestezi açısından yönetimi:Olgu sunumu

Peripartum cardiomyopathy is a rare but life threatening condition. Anaesthetic management of apatient with peripartum cardiomyopathy for caesarean section is a major challenge foranaesthesiologist. Timely diagnosis of the condition, institution of appropriate medicationregimen, a carefully chosen anaesthetic technique and vigilant perioperative monitoring areessential for optimizing outcome in these patients. The goals of anaesthetic management includemaintenance of optimal ventricular preload and afterload while avoiding any anaesthesia inducedmyocardial depression.

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