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British Journal of Anaesthesia, 2001, Vol. 86, No. 1 135-138
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia

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

C. P. McCarroll, L. D. Paxton*, P. Elliott and D. B. Wilson

Department of Clinical Anaesthesia, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BA, UK*Corresponding author

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.

Br J Anaesth 2001; 86: 135–8


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