Title: Anesthesia for Open Cholecystectomy in a Patient with Dilated Cardiomyopathy
Author: Dr Deepali Gomase Rahate
DOI: https://dx.doi.org/10.18535/jmscr/v8i3.13
Abstract
Patients with limited reserve undergoing any noncardiac surgery is a challenge for anaesthesiologist and associated with high morbidity and mortality. Dilated cardiomyopathy is one of disorder with limited reserve. Anesthesiologist must be aware of different types of cardiomyopathies, associated preoperative evaluation and management of complications so as to conduct smooth anaesthesia. Patients with cardiomyopathy may be associated with other comorbidities and present to anesthesiologist for various emergency or elective cases. We reported a case of patient with dilated cardiomyopathy posted for open cholecystectomy. Along with DCM patient had history of chronic obstructive pulmonary disease with active rhonchi . We planned this case under thoracic epidural so as to avoid general anaesthesia.
Keywords: Anesthesia, thoracic epidural, dilated cardiomyopathy, Chronic obstructive airway disease (COPD)
References
- Ravi Raj, Mritunjay Kumar, and Meenu Batra. Anesthetic management of a case of dilated cardiomyopathy for emergency appendectomy, Anesth Essays Res. 2014 Jan-Apr; 8(1): 105–107
- Wood WL, Kuczkowski KM, Beal BR. Anesthetic considerations for cesarean section in the parturient with familial cardiomyopathy. Acta Anaesthesiol Belg. 2008;59:87–9. [PubMed] [Google Scholar])
- R. Davies, J. Cousins, Cardiomyopathy and anaesthesia Continuing Education in Anaesthesia Critical Care & Pain, Volume 9, Issue 6, December 2009, Pages 189–193,
- Rajiv Juneja, Prajeesh M , Cardiomyopathies and anaesthesia, IJA REVIEW ARTICLE Year : 2017 | Volume : 61 | Issue : 9 | Page : 728-735
- Narang S. Adequate pain management contributes to hemodynamic stability. Middle East J Anaesthesiol 2007;19:243-9.
- De Hert SG, Van der Linden PJ, ten Broecke PW, Vermeylen KT, Rodrigus IE, Stockman BA, et al. Effects of desflurane and sevoflurane on length-dependent regulation of myocardial function in coronary surgery patients. Anesthesiology 2001;95:357-63.
- van Zundert AAJ, Stultiens G, Jakimowicz JJ, et al. Segmental spinal anaesthesia for laparoscopic cholecystectomy in a patient with severe lung disease. Brit J Anaesth 2006; 96:464-6.
- Barani Selvan, David George Veliath, Parnandi Bhaskar Rao, Ramachandran, and R. V. Ranjan, Cholecystectomy under segmental thoracic epidural block in a patient with twin gestation, Saudi J Anaesth. 2012 Jan-Mar; 6(1):73-75
- Gramatica L, Brasesco OE, Mercado Luna A, et al. Laparoscopic cholecystectomy performed under regional anesthesia in patients with chronic obstructive pulmonary disease. Surg Endosc 2002; 16:472-5.
- Yamaguchi S, Wake K, Mishio M, Okuda Y, Kitajima T. Anesthetic management of a patient with dilated cardiomyopathy under total intravenous anesthesia with propofol and ketamine combined with continuous epidural analgesia. Masui. 1999;48:1232–4. [PubMed]
- Davies MR, Cousins J. Cardiomyopathy and anaesthesia. Continuing Education in Anaesthesia, Critical Care & Pain 2009;9(6) 189-93. Back to cited text no. 7
- Muhammad Umar Zahoor1, Rehan Masroor2, Tassadaq Khurshid3, Raheel Azhar3and Malik Muhammad Amjad Yasin1Thoracic Epidural Anaesthesia for Open Cholecystectomy, ,Journal of the College of Physicians and Surgeons Pakistan 2011, Vol. 21 (11): 654-658
- Oliver WC, Mauermann WJ, Nuttal G. Uncommon cardiac diseases. In: Kaplan J, Reich DL, Savino JS, editors. Kaplan's Cardiac Anesthesia. 6th ed., Ch. 22. Philadelphia: Elsevier Saunders; 2011. p. 675-736.
- Desai AS, Fang JC, Maisel WH, Baughman KL. Implantable defibrillators for the prevention of mortality in patients with nonischemic cardiomyopathy: A meta-analysis of randomized controlled trials. JAMA 2004;292:2874-9.