Lithotripsy under low dose spinal anaesthesia with dexmedetomidine in a patient with hypertrophic obstructive cardiomyopathy

R, Prabhavathi; Reddy, Poluru L.; Pathapati, Rama Mohan; Rajashekar, Sujith Tumkur

doi:10.4103/0019-5049.135096

Cited by 2 publications

(2 citation statements)

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Section: Introductionmentioning

confidence: 99%

“…Perioperative goals include maintaining adequate volume status, systemic vascular resistance, avoiding tachycardia, reducing contractility, and selecting agents that have minimal or reduced sympathetic effects. While general anesthesia is common, neuraxial and regional anesthesia can also be used cautiously [2][3][4]. Dexmedetomidine (DEX), a highly selective alpha-2 adrenergic agonist, offers unique direct and indirect cardioprotective stabilization, minimal respiratory depression, anxiolysis, sedation, and analgesia [5,6].…”

Section: Introductionmentioning

confidence: 99%

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Regional Anesthesia for Arthroscopic Knee Repair in a Patient With Hypertrophic Obstructive Cardiomyopathy (HOCM) Under Monitored Anesthesia Care With Dexmedetomidine Infusion

Cunningham,

Braun,

Hussey

et al. 2024

Cureus

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Patients with hypertrophic obstructive cardiomyopathy (HOCM) who are scheduled for elective, noncardiac surgery present a distinctive challenge for perioperative healthcare providers. The use of general anesthesia and neuraxial anesthesia carries the risk of unpredictable hemodynamic changes and potential complications. Regional anesthesia (RA) emerges as a prudent and effective option for HOCM patients. RA provides advantages such as minimizing hemodynamic fluctuations, avoiding intubation, reducing pharmacologic side effects, facilitating enhanced recovery after surgery, and contributing to greater patient satisfaction. We share the case of a 15-year-old individual diagnosed with HOCM and exercise intolerance, undergoing arthroscopic repair for right patellar instability. In this instance, the patient received preoperative peripheral nerve blocks for surgical anesthesia and underwent repair utilizing monitored anesthesia care (MAC) with a dexmedetomidine (DEX) infusion.

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Section: Introductionmentioning

confidence: 99%