{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:14:23Z","timestamp":1740147263594,"version":"3.37.3"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T00:00:00Z","timestamp":1722816000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T00:00:00Z","timestamp":1722816000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Pregnancy in a woman with heart and chronic renal failure can lead to life-threatening complications for both mother and child. Although such cases are often delivered by cesarean section, few reports have described anesthesia methods.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We encountered a case in which cesarean section was performed using combined spinal and epidural anesthesia for a pregnant woman with chronic renal and heart failure. The 35-year-old Japanese woman had been undergoing hemodialysis for several years. Heart failure symptoms that appeared during pregnancy initially improved with treatments such as increasing hemodialysis, but recurred. She was admitted to the intensive care unit. The initial plan was to deliver the baby after a few weeks, but further progression of heart failure became a concern. After a clinical conference among staff, a cesarean section with combined spinal and epidural anesthesia was scheduled for 24\u00a0weeks, 0\u00a0days of gestation. The anticoagulant for dialysis was also changed from heparin to nafamostat in preparation for cesarean section. Monitoring was started with central venous and radial artery pressures before induction of anesthesia. Combined spinal and epidural anesthesia was induced and the cesarean section was completed without complications. Surgery was initiated under continuous administration of phenylephrine, which was intended to avoid hypotension due to anesthesia. The hemodynamic and respiratory status of the patient remained stable postoperatively. After the cesarean section, morphine was administered epidurally and the epidural catheter was removed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Cesarean section was safely performed for a pregnant woman with renal and heart failure using combined spinal and epidural anesthesia.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-024-04694-x","type":"journal-article","created":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T00:01:42Z","timestamp":1722816102000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anesthesia management for cesarean section in a woman with chronic renal failure and heart failure: a case report"],"prefix":"10.1186","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7954-4358","authenticated-orcid":false,"given":"Tatsuo","family":"Horiuchi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syunsuke","family":"Takeda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rie","family":"Mieda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadanao","family":"Hiroki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeru","family":"Saito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,8,5]]},"reference":[{"key":"4694_CR1","doi-asserted-by":"publisher","first-page":"477","DOI":"10.1053\/j.ackd.2020.06.001","volume":"27","author":"AL Oliverio","year":"2020","unstructured":"Oliverio AL, Hladunewich MA. End-stage kidney disease and dialysis in pregnancy. Adv Chronic Kidney Dis. 2020;27:477\u201385.","journal-title":"Adv Chronic Kidney Dis"},{"key":"4694_CR2","doi-asserted-by":"publisher","first-page":"762","DOI":"10.1053\/j.ajkd.2019.08.029","volume":"75","author":"AL Oliverio","year":"2020","unstructured":"Oliverio AL, Bragg-Gresham JL, Admon LK, et\u00a0al. Obstetric deliveries in US women with ESKD: 2002\u20132015. Am J Kidney Dis. 2020;75:762\u201371.","journal-title":"Am J Kidney Dis"},{"key":"4694_CR3","doi-asserted-by":"publisher","first-page":"31","DOI":"10.31083\/j.rcm.2020.01.24","volume":"21","author":"MS Joseph","year":"2020","unstructured":"Joseph MS, Palardy M, Bhave NM. Management of heart failure in patients with end-stage kidney disease on maintenance dialysis: a practical guide. Rev Cardiovasc Med. 2020;21:31\u20139.","journal-title":"Rev Cardiovasc Med"},{"key":"4694_CR4","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1001\/jamapediatrics.2014.3351","volume":"169","author":"PY Ancel","year":"2015","unstructured":"Ancel PY, Goffinet F, Kuhn P, et\u00a0al. Survival and morbidity of pretearm children born at 22 through 34 weeks\u2019 gestation in France in 2011: results of the EPIPAGE-2 cohort study. JAMA Pediatr. 2015;169:230\u20138.","journal-title":"JAMA Pediatr"},{"key":"4694_CR5","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1097\/AOG.0b013e31820093a9","volume":"117","author":"JL Hawkins","year":"2011","unstructured":"Hawkins JL, Chang J, Palmer SK, Gibbs CP, Callaghan WM. Anesthesia-related maternal mortality in the United States: 1979\u20132002. Obstet Gynecol. 2011;117:69\u201374.","journal-title":"Obstet Gynecol"},{"key":"4694_CR6","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1097\/ALN.0000000000000935","volume":"124","author":"Practice Guidelines for Obstetric Anesthesia","year":"2016","unstructured":"Practice Guidelines for Obstetric Anesthesia. An updated report by the American society of anesthesiologists Task Force on Obstetric Anesthesia and the Society for Obstetric Anesthesia and Perinatology. Anesthesiology. 2016;124:270\u2013300.","journal-title":"Anesthesiology"},{"key":"4694_CR7","doi-asserted-by":"publisher","first-page":"525","DOI":"10.1007\/s00540-007-0547-5","volume":"21","author":"J Ogata","year":"2007","unstructured":"Ogata J, Horishita T, Shiraishi M, Minami K. Combined spinal-epidural anesthesia for cesarean section in a patient with Takayasu arteritis complicated by heart failure. J Anesth. 2007;21:525\u20136.","journal-title":"J Anesth"},{"key":"4694_CR8","first-page":"164","volume":"135","author":"ML Meng","year":"2021","unstructured":"Meng ML, Arendt KW. Obstetric Anesthesia and Heart Disease: practical clinical considerations. Anesthesiology. 2021;135:164\u201383.","journal-title":"Anesthesiology"},{"key":"4694_CR9","first-page":"1148156","volume":"2021","author":"Y Nakamura","year":"2021","unstructured":"Nakamura Y, Tada K, Matsuta M, Murai A, Tsuchiya H. Anaphylactic reactions caused by nafamostat mesylate during hemodialysis before surgery for carpal tunnel syndrome. Case Rep Nephrol. 2021;2021:1148156.","journal-title":"Case Rep Nephrol"},{"key":"4694_CR10","doi-asserted-by":"publisher","first-page":"376","DOI":"10.1159\/000187357","volume":"64","author":"T Akizawa","year":"1993","unstructured":"Akizawa T, Koshikawa S, Ota K, et\u00a0al. Nafamostat mesilate: a regional anticoagulant for hemodialysis in patients at high risk for bleeding. Nephron. 1993;64:376\u201381.","journal-title":"Nephron"},{"key":"4694_CR11","doi-asserted-by":"publisher","first-page":"889","DOI":"10.1001\/jama.1996.03540110043030","volume":"276","author":"AF Connors Jr","year":"1996","unstructured":"Connors AF Jr, Speroff T, Dawson NV, et\u00a0al. The effectiveness of right heart catheterization in the initial care of critically ill patients. SUPPORT Investigators. JAMA. 1996;276:889\u201397.","journal-title":"JAMA"},{"issue":"247","key":"4694_CR12","first-page":"e1","volume":"221","author":"GA Macones","year":"2019","unstructured":"Macones GA, Caughey AB, Wood SL, et\u00a0al. Guidelines for postoperative care in cesarean delivery: Enhanced Recovery After Surgery (ERAS) Society recommendations (part 3). Am J Obstet Gynecol. 2019;221(247):e1\u20139.","journal-title":"Am J Obstet Gynecol"},{"key":"4694_CR13","doi-asserted-by":"publisher","first-page":"F1000","DOI":"10.12688\/f1000research.13895.1","volume":"7","author":"U Ituk","year":"2018","unstructured":"Ituk U, Habib AS. Enhanced recovery after cesarean delivery. F1000Res. 2018;7:F1000.","journal-title":"F1000Res"},{"key":"4694_CR14","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1016\/j.jpainsymman.2004.02.021","volume":"28","author":"M Dean","year":"2004","unstructured":"Dean M. Opioids in renal failure and dialysis patients. J Pain Symptom Manage. 2004;28:497\u2013504.","journal-title":"J Pain Symptom Manage"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-024-04694-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-024-04694-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-024-04694-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T00:01:47Z","timestamp":1722816107000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-024-04694-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,5]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["4694"],"URL":"https:\/\/doi.org\/10.1186\/s13256-024-04694-x","relation":{},"ISSN":["1752-1947"],"issn-type":[{"type":"electronic","value":"1752-1947"}],"subject":[],"published":{"date-parts":[[2024,8,5]]},"assertion":[{"value":"25 November 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 July 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 August 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no conflicts of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"355"}}