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Case Reports
. 2001 Jan;86(1):135-8.
doi: 10.1093/bja/86.1.135.

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

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Free article
Case Reports

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

C P McCarroll et al. Br J Anaesth. 2001 Jan.
Free article

Abstract

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.

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