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
Keywords
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