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Low Dose Combined Spinal Epidural for Caesarean Section in Peripartum Cardiomyopathy - A Case Report with Review of Literature

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Author(s): Divya Sethi

Journal: Indian Anaesthetists' Forum
ISSN 0973-0311

Volume: 13;
Issue: 13;
Start page: 1234;
Date: 2012;
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Keywords: caesarean section | peripartum cardiomyopathy | combined spinal epidural | high risk obstetric | regional anaesthesia

ABSTRACT
Peripartum cardiomyopathy (PPCM) is a rare but life threatening condition and anaesthetic management of a patient with PPCM for caesarean section is often a major challenge. There is a growing literature suggesting that low dose CSE preserves the maternal hemodynamics and hence may be a suitable regional anaesthesia technique for CS in high risk obstetric patients with cardiac disease.
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