Sugita Michiko, Shimizu Kazuko, Hirata Naoyuki
Department of Anesthesiology, Kumamoto University Hospital, Kumamoto, JPN.
Cureus. 2023 Nov 16;15(11):e48877. doi: 10.7759/cureus.48877. eCollection 2023 Nov.
We report a case of successful continuous spinal anesthesia (CSA) for labor analgesia and cesarean delivery in a patient with familial dilated cardiomyopathy (DCM). A 33-year-old pregnant woman diagnosed with DCM was scheduled for a vaginal delivery under labor analgesia. An accidental intrathecal catheter was placed, and labor analgesia was provided by CSA. The vaginal delivery was converted to a cesarean delivery, and an intrathecal catheter was used for transition, which avoided hemodynamic changes and allowed the patient to safely undergo cesarean delivery. CSA is a reliable and rapidly titratable technique that provides excellent analgesia without hemodynamic changes in patients with DCM undergoing labor analgesia and subsequent cesarean delivery.
我们报告了一例在患有家族性扩张型心肌病（DCM）的患者中成功使用连续脊髓麻醉（CSA）进行分娩镇痛和剖宫产的病例。一名被诊断为DCM的33岁孕妇计划在分娩镇痛下进行阴道分娩。意外放置了鞘内导管，并通过CSA提供分娩镇痛。阴道分娩转为剖宫产，使用鞘内导管进行过渡，避免了血流动力学变化，使患者能够安全地接受剖宫产。CSA是一种可靠且可快速滴定的技术，在患有DCM的患者进行分娩镇痛及随后的剖宫产时，能提供出色的镇痛效果且不引起血流动力学变化。
