Title : Anesthetic management of a patient with dilated cardiomyopathy posted for hernioplasty
Abstract:
Dilated cardiomyopathy (DCM) is a myocardial disease characterised by ventricular dilatation and global myocardial dysfunction (ejection fraction < 40%).
- Patients usually present with symptoms of biventricular failure, e.g. fatigue, dyspnoea, orthopnoea, ankle oedema
- Associated with a high mortality (2-year survival = 50%) due to progressive cardiogenic shock or ventricular dysrhythmias (sudden cardiac death)
Epidural anesthesia is a method of neuraxial pain control in which anesthetic medications are injected into the epidural space to block sensory and motor spinal nerve roots in the thoracic, abdominal, pelvic, and lower extremity areas. This epidural technique can be used for anesthesia during procedures, chronic pain, or muscle spasticity as a primary anesthetic or pain management adjuvant. A primary advantage epidural anesthesia offers is the ability for clinicians to tailor the medication used and the type of administration (ie, intermittent or continuous infusion) to meet the clinical need. Additionally, this technique can reduce the opioid requirement during and after a procedure, lowering the incidence of associated side effects.
Audience Take Away
- Management of patient with dcmp.
- Chioce of anesthesia .
- Xray and echo fingings.
