Anaesthetic management of patient with Ischaemic Heart Disease with 25% ejection fraction for Urethroplasty
Journal Title: IJSR-International Journal Of Scientific Research - Year 2017, Vol 6, Issue 1
Abstract
Administering anaesthesia to cardiac patients for non cardiac surgery has always been challenging. The ultimate goal of anaesthesia in these patients to avoid ischaemia by balancing myocardial oxygen demand and supply. Preoperative assessment of risk factors, cardiovascular examination, preoperative evaluation and optimization is required for ischaemic heart disease patients. We need to select appropriate anaesthetic technique and drugs to improve patient’s outcome. Though the choice of anaesthesia has been general anaesthesia to achieve goal of greater myocardial oxygen supply than demand, in this case we decided to give lower segment epidural block for anaesthesia and post operative analgesia. We used Ropivacaine 0.75% for loading dose and 0.5% Ropivacaine for maintenance keeping haemodynamics stable. We report a successful anaesthetic management of a patient with ischaemic heart disease for urethroplasty under epidural anaesthesia and analgesia.
Authors and Affiliations
Dr. Pranita Kate, Dr. (col) V. R. R Chari, Dr. Jateen Amonkar, Dr. Ankit Sawhney, Dr. Arnab Paul
Keywords
Related Articles
- EP ID EP241235
- DOI 10.15373/22778179
- Views 106
- Downloads 0
IMPACT OF PATWARDHAN ‘S TECHNIQUE ON MATERNAL AND FETAL OUTCOME IN SECOND STAGE CESAREAN SECTION
Background: Caesarean section at full dilatation with deeply engaged head in the pelvis can be associated with increased maternal and perinatal morbidity .The objective of present study is to compare the maternal and per...
Histopathological spectrum of cholecystectomy specimen in Government Medical College Jammu - a hospital based study.
Introduction- Gall bladder is the organ that stores and concentrate the bile helps in the digestion of fat .It gets affected by a variety of pathological processes.It ha s a wide spectrum of diseases ranging from congeni...
CLINICAL EFFECT OF COMMERCIALLY AVAILABLE TWO HERBAL DENTIFRICES ON THE CONTROL OF PLAQUE AND GINGIVITIS.
Background & Objectives: Main aim of this study was to evaluate the anti-plaque and anti-inflammatory effect of commercially available two herbal dentifrices that is Colgate herbal and Patanjali dantkanti. Method and mat...
A RANDOMIZED CONTROLLED STUDY OF REDUCTION IN SEVERITY OF POSTOPERATIVE SORETHROAT USING PREOPERATIVE KETAMINE NEBULIZATION.
Endotracheal intubation is the prominent cause of airway mucosal injury which results in postoperative sore throat (POST). This study was conducted to evaluate the efcacy of nebulized ketamine in ecreasing POST. 96 pati...
EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY (ESWL) VERSUS URETERORENOSCOPIC LITHOTRIPSY (URSL) FOR MANAGEMENT OF UPPER URETERIC CALCULI, OUR EXPERIENCE AT TERTIARY CARE HOSPITAL.
Background: Urinary stones are the third most common affliction of urinary tract, exceeded only by urinary tract infections and pathological conditions of prostate (BPH and Prostate cancer). Extracorporeal Shock Wave Lit...