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Category: Volume 07 Issue 08 August 2019
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Title: Laparoscopic surgery in a patient with dilated cardiomyopathy with implanted device –anesthesia considerations Anaesthesia for laparoscopy surgery with implanted device in DCM

Authors: Dr Deepali Rahate Gomase

 DOI: https://dx.doi.org/10.18535/jmscr/v7i8.130

Abstract

    

Introduction: Post-partum cardiomyopathy is one of the form of DCM which can occurs from the third trimester of pregnancy till the first 5 months after delivery(1).  In dilated cardiomyopathy cardiac reserve is reduced and is the common cause of cardiac failure. Many patients have implanted cardiac device so as to improve survival rate.  In United States more than 5, 00,000 patients have pacemakers and each year nearly 1, 15,000 new devices are implanted(2). Understanding the pathophysiology of cardiomyopathy, the implanted device and its anaesthetic implication is important in the management of these cases. The preoperative management involves not only   maintaining hemodynamics but also care of such implanted device.

Keywords: Dilated cardiomyopathy, Anesthesia, laparoscopy, defibrillator.        

References

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Corresponding Author

Dr Deepali Rahate Gomase, MBBS, DNB (Anaesthesia)

Senior Consultant, Dept of Anaesthesiology, Ganga Care Hospital, Nagpur

253, Near KRIMS Hospital, Ramdaspeth, Nagpur, India