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ANAESTHETIC MANAGEMENT OF A KNOWN CASE OF PERIPARTUM CARDIOMYOPATHY POSTED FOR EMERGANCY CAESAREAN SECTION

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ABSTRACT
Peripartumcardiomyopathy(PPCM) is an idiopathic cardiomyopathy that presents with heart failure secondary to left ventricular systolic dysfunction towards the end of pregnancy or in the early months after delivery, in the absence of any other cause of heart failure.It has an incidence of one per 3500 live births and is associated with a high mortality rate (30–60%).Anaesthetic management of a patient with PPCM should be comprised of adequate preoperative optimization using a multidisciplinary approach, careful monitoring, proper use of anaesthetic techniques and vigilant postoperative care. We report a case of a 25 years old, primigravida patient with difficulty in breathing and generalized weakness at 7 months of gestation. Patient was diagnosed to have dilated peripartum cardiomyopathy. Endotracheal anaesthesia with inj. Fentanyl,inj.Pentothal and inj. Vecuronium bromide was given and maintained on oxygen and sevoflurane. Intraoperative period was uneventful. Patient was extubated, postoperatively patient was conscious, co-operative & haemodynamically stable with no pain. Patient was shifted post operatively in intensive care unit for observation for 24 hours..
Key words: Peripartum Cardiomyopathy, Cesarean Section, General Anesthesia.

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