Anaesthetic management of a case of dilated cardiomyopathy for emergency appendectomy

Raj, Ravi; Kumar, Manoj; Batra, Manav

doi:10.4103/0259-1162.128925

Cited by 6 publications

(1 citation statement)

References 6 publications

(5 reference statements)

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“…Neuraxial anesthesia can be used as the primary anesthetic or in combination with general anesthesia for patients with cardiac disease. Several factors, including the presence of other medical conditions, the type of surgery, and the patient's preference, play a crucial role in assessing the advantages and disadvantages of neuraxial anesthesia (16). Since this is a case report, the main limitation of this study is that we only included one patient, making our findings difficult to generalize to a broader population.…”

Section: Discussionmentioning

confidence: 99%

Combined Spinal-Epidural Anesthesia with Isobaric Ropivacaine 0.375% for Inguinal Hernia Surgery in a Heart Failure Patient with Ejection Fraction of 36%

Rayyan,

Ghiffari,

Hariyanto

et al. 2024

IJAR

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Introduction: Heart failure is a condition caused by myocardial abnormalities that interfere with the fulfillment of the body's metabolism. It is one of the primary causes of high perioperative morbidity and mortality rates, and its management presents a challenge to anesthesiologists. Objective: To demonstrate combined spinal-epidural anesthesia with isobaric ropivacaine 0.375% for inguinal hernia repair surgery in a heart failure patient with an ejection fraction of 36%. Case Report: A 53-year-old man presented with a complaint of a lump on his left groin accompanied by pain with a visual analog scale (VAS) pain score of 3/10 three days before admission. The patient was also known to often complain of shortness of breath and chest palpitations when lying down at night and during strenuous activity. Based on the examination, the patient was then diagnosed with reducible left lateral inguinal hernia and heart failure with LVEF 36%. Subsequently, the patient was scheduled for elective herniotomy-hernioraphy surgery under low-dose combined spinal-epidural anesthesia. Spinal anesthesia was performed with isobaric ropivacaine 0.375% and fentanyl 25 μg in a total volume of 3.5 ml at the L3-L4 intervertebral space. Epidural anesthesia was performed with isobaric ropivacaine 0.375% and fentanyl 25 μg in a total volume of 8 ml at the L2-L3 intervertebral space. After 10 minutes, the sensory block reached the T6 level, but the motor block was only partial (Bromage 1). A continuous infusion of isobaric ropivacaine 0.1875% 1 ml/hour was administered through the epidural catheter to control postoperative pain. During surgery and hospitalization, the patient's hemodynamic condition remained stable. Conclusion: Combined spinal-epidural anesthesia with isobaric ropivacaine 0.375% can provide adequate anesthesia with relatively stable hemodynamics, thus making it safe for inguinal hernia repair surgery in heart failure patients with reduced ejection fraction.

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Section: Discussionmentioning

confidence: 99%

Combined Spinal-Epidural Anesthesia with Isobaric Ropivacaine 0.375% for Inguinal Hernia Surgery in a Heart Failure Patient with Ejection Fraction of 36%

Rayyan,

Ghiffari,

Hariyanto

et al. 2024

IJAR

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Dilated Cardiomyopathy and Prone Position: An Anesthetic Challenge

Hooda

Sud

Dwivedi

et al. 2020

J Neuroanaesth Crit Care

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The anesthetic management of a patient with dilated cardiomyopathy (DCM) for noncardiac surgery is challenging due to associated congestive heart failure, malignant dysrhythmias, sudden cardiac arrest, implanted rhythm devices, and thromboembolism. We report successful conduct of a case of DCM on cardiac resynchronization device with Cauda equina syndrome (CES) under general anesthesia in prone position. The anesthetic concerns specific to the pathophysiology of DCM are also discussed.

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Cardiomyopathy and anaesthesia

Ibrahim

Sharma

2017

BJA Education

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Cardiomyopathy is a disease of the heart muscle that can be inherited or acquired and can affect people of all ages. Cardiomyopathy affects the shape, function, and electrical system of the heart. In the UK, the estimated incidence of cardiomyopathy is 1 in 500. Although it is not a curable condition, the signs and symptoms can usually be managed successfully and patients can have a good life expectancy. 1 Definitions The term cardiomyopathy was used for the first time in 1957. Since then, there have been several definitions and classifications of cardiomyopathy (Table 1).

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Anaesthetic management of a case of dilated cardiomyopathy for emergency appendectomy

Cited by 6 publications

References 6 publications

Combined Spinal-Epidural Anesthesia with Isobaric Ropivacaine 0.375% for Inguinal Hernia Surgery in a Heart Failure Patient with Ejection Fraction of 36%

Combined Spinal-Epidural Anesthesia with Isobaric Ropivacaine 0.375% for Inguinal Hernia Surgery in a Heart Failure Patient with Ejection Fraction of 36%

Dilated Cardiomyopathy and Prone Position: An Anesthetic Challenge

Cardiomyopathy and anaesthesia

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