DesRoches Jaclyn M, McKeen Dolores Madeline, Warren Andrew, Allen Victoria M, George Ronald B, Kells Catherine, Shukla Romesh
From the *Department of Women's & Obstetric Anesthesia, IWK Health Centre, Halifax, Nova Scotia, Canada; †Department of Pediatric Cardiology, IWK Health Centre, Halifax, Nova Scotia, Canada; ‡Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, Nova Scotia, Canada; and §Division of Cardiology, Dalhousie University, Halifax, Nova Scotia, Canada.
A A Case Rep. 2016 Mar 15;6(6):154-9. doi: 10.1213/XAA.0000000000000275.
We describe the management of a parturient woman with hypertrophic cardiomyopathy who developed a symptomatic accelerated idioventricular rhythm who required an urgent cesarean delivery at 32 weeks. Transthoracic echocardiography helped guide anesthetic management, including epidural dosing, fluid management, and phenylephrine infusion rates. This case demonstrates the application of transthoracic echocardiography to guide anesthetic management in a parturient woman at risk for cardiovascular compromise.
我们描述了一位患有肥厚型心肌病的产妇的管理情况，该产妇出现了有症状的加速性室性自主心律，在32周时需要紧急剖宫产。经胸超声心动图有助于指导麻醉管理，包括硬膜外给药剂量、液体管理和去氧肾上腺素输注速率。该病例展示了经胸超声心动图在指导有心血管功能受损风险的产妇麻醉管理中的应用。
