SUCCESSFUL ANAESTHETIC MANAGEMENT OF A PATIENT WITH PARADOXICAL VENTRICULAR SEPTAL MOTION (PVSM) POSTED FOR MODIFIED RADICAL NECK DISSECTION WITH RADIAL FREE FLAP
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 17
Abstract
BACKGROUND: Patients with paradoxical ventricular septal motion are a challenge to anaesthesiologist due to risk of perioperative myocardial ischaemia and sudden cardiac arrest. CASE DESCRIPTION: We present anaesthetic management of a 45year old lady with a diagnosed case of carcinoma left buccal mucosa with paradoxical ventricular septal motion posted for modified radical neck dissection with radial free flap. CONCLUSION: Although clinical manifestations of this cardiac condition may be mild, there is certainly associated pathology of direct relevance, which carries importance in the anaesthetic management in the peri-operative period. Patients with paradoxical ventricular septal motion of any etiology are more prone for perioperative myocardial ischaemia and sudden cardiac arrest, because if cardiac conduction is not maintained properly then it may result in further increase in the paradoxical ventricular septal motion
Authors and Affiliations
Amruta Hippalgaonkar, Dattatraya Gangurde
Keywords
Related Articles
- EP ID EP227366
- DOI 10.18410/jebmh/2015/380
- Views 75
- Downloads 0
EFFECT OF INTERPREGNANCY INTERVAL ON SUBSEQUENT PREGNANCY FOLLOWING A MISCARRIAGE
BACKGROUND Primary Objective of this study was to determine the effect on interpregnancy interval on subsequent pregnancies after a miscarriage. Secondary Objective was to study the maternal and foetal complications foll...
HISTOMORPHOLOGICAL STUDY OF COLORECTAL MALIGNANCIES
Colorectal cancer is the most common cancer in men and in women worldwide. Incidence rates of colorectal cancer vary 10-fold in both sexes worldwide, Within Asia, the incidence rates vary widely and are uniformly low in...
A RARE CASE OF PERFORATED JEJUNAL DIVERTICULOSIS: CASE REPORT
Jejunal diverticula are uncommon, acquired lesions which are usually asymptomatic. When symptomatic they present with chronic non-specific symptoms like pain, nausea, malnutrition and sometimes with acute presentation li...
A CLINICAL STUDY OF SCREENING AND GRADING OF RETINOPATHY OF PREMATURITY IN THE UNIVERSITY HOSPITAL OF SOUTH INDIA
BACKGROUND Retinopathy of prematurity is a leading cause of blindness among premature infants. This study was undertaken to develop an effective screening programme to access such premature infants especially for this di...
PREVALENCE OF PAEDIATRIC DERMATOSES IN THE AGE GROUP OF 5-14 YEARS AT A TERTIARY CARE CENTER IN SALEM
BACKGROUND Skin diseases in pediatric age group are common all over the world. Pediatric dermatoses require separate view from adult dermatoses as there are differences in their clinical presentation and treatment. OBJEC...