Anesthetic Considerations in Patient with Wolff-Parkinson-White Syndrome for Laparoscopic Cholecystectomy: Role of Perioperative Dexmedetomidine
Journal Title: Enliven: Journal of Anesthesiology and Critical Care Medicine - Year 2015, Vol 2, Issue 5
Abstract
Wolff-Parkinson-White (WPW) syndrome is a cardiac disorder having abnormal electrical communication between atria and ventricles. It is an uncommon disorder may be asymptomatic or present with symptoms like palpitation. Intraoperatively these patients may present with serious cardiac emergencies like paroxysmal supraventricular tachyarrythmias (PSVT) and atrial fibrillation (AF). We report a case of 35 years old female posted for elective laparoscopic cholecystectomy under general anesthesia with the use of dexmedetomidine in the perioperative period. Perioperative management of these patients under general anesthesia is a real challenge for the anesthesiologists particularly under general anesthesia.
Authors and Affiliations
Paban Nath Mridu, Bhattacharyya Rajib, Barman Malavika
Hemodynamic Assessment and Monitoring in the Intensive Care Unit: an Overview
The goal of hemodynamic monitoring in intensive care is to assess the adequacy of perfusion, specifically with regard to maintaining sufficient perfusion pressures and oxygen delivery. Precise volume management of peri-o...
Cuffed Endotracheal Tube Size and Leakage in Pediatric Tracheal Models
Object: Cuffed endotracheal tubes are increasingly used in pediatric patients in the hope that they can reduce air leakage and tube size mismatch by just inflating the cuff. Authors compared influence of various tube siz...
Echocardiographic Predictors of Alveolar Capillary Dysplasia: A Case-Control Study
Objective To evaluate early echocardiographic variables of neonates with alveolar capillary dysplasia (ACD). Study Design A case-control study of five neonates with ACD and their matched controls on extracorporeal membr...
Stellate Ganglion Block Reduces the Radicular Pain and Salivary Alpha-Amylase Activity in Patients with Cervical Spondylosis
Background The effects of stellate ganglion block (SGB) on radicular pain associated with cervical spondylosis remain to be clarified. So we measured salivary alpha-amylase which reflects sympathetic nerve activity under...
Anesthetic Management in a Pediatric Patient Posted for Bronchoscopy
Anesthetic management in a pediatric patient posted for an impacted foreign body in bronchus is quite challenging, Hemorrhage, Tension pneumothorax during rigid bronchoscopy for foreign body removal is a rare but life th...