Anesthetic management of cor pulmonale posted for fracture neck femur: Role of regional anesthesia
Journal Title: Perspectives In Medical Research - Year 2013, Vol 1, Issue 1
Abstract
Introduction: Patients with Cor pulmonale pose a difficult challenge for the anesthesiologist. Case report: We present a case of 75 year old female with cor pulmonale with fracture left femur posted for Austin Moore prosthesis. Regional anesthesia with invasive haemodynamic measurement was done with successful perioperative management. Discussion: proper understanding of pathophysiology, preoperative optimization of the patientinvasive cardiovascular monitoring and avoidance of factors raising pulmonary artery pressure are keys of successful management . Conclusion: In a subset of patients who do not have left ventricular dysfunction secondary to cor pulmonale, regional anesthesia is an option but should be guided by invasive haemodynamic data.
Authors and Affiliations
Nikhil Mudgalkar
The therapeutic inspiration of the humble leech in reconstructive surgery: a brief overview
Introduction: Medicinal leeches (Hirudomedicinalis) have been used since ancient times in several fields of medicine, notably in plastic and reconstructive surgery.Currently, thanks to the mechanic properties and biochem...
Long standing migrated foreign body in neck- A surgeon’s nightmare
Foreign body ingestion is a most frequent clinical emergency requiring quick action to ensure speedy recovery and minimize the complications. At times, if foreign bodies are sharp, they can pierce the wall of pharynx, oe...
Cryptosporidium infection among children presenting with diarrhea: A hospital based study from rural Haryana
Background: Cryptosporidium has emerged as an important cause of diarrheal illness worldwide, especially among young children and patients with immune deficiencies. The spectrum of intestinal infection ranges from asympt...
Ruptured pyometra with peritonitis
Pyometra is the accumulation of purulent material (pus) in the uterine cavity, and spontaneous perforation of pyometra resulting in generalized diffuse peritonitis is extremely uncommon. The clinical picture is similar t...
A rare case of bilateral limbal compound naevus
Introduction: Pigmented naevi or moles are extremely common lesions which are often flat or slightly elevated lesions, rarely they may be papillomatous or pedunculated. Most naevi appear in adolescence and in early adult...