Intraoperative Arrhythmia during Oral Malignancy Surgery in Geriatric Patient with Ischemic Heart Disease – A Case Report

S. Chavan, K. Chozan, Stephan Jebaraj, Madhu Chavan, Priya Chavre
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Abstract

Advances in medical field have resulted in increased life expectancy. Hence, world is aging due to increased geriatric population resulting in 4-fold rise in surgical diseases in the elderly. Hence, operation theater will be occupied by 25% geriatric population, necessitating need of experienced and skillful geriatric anesthesiologists. Ischemic heart disease remains major cause for perioperative complications among all cardiac events contributing to more than half of post-operative deaths. Knowledge of altered cardiovascular physiology in geriatrics, identification of risk factors, optimization, and skillful selection of anesthesia techniques, and drugs are important during the management of ischemic heart disease (IHD) cases during major non-cardiac surgeries. We report successful management of a geriatric patient with IHD and management of intraoperative episode of premature ventricular contractions during oral malignancy surgery under general anesthesia.
老年缺血性心脏病口腔恶性手术患者术中心律失常1例报告
医学领域的进步提高了人们的预期寿命。因此,由于老年人口的增加,世界正在老龄化,导致老年人外科疾病增加了4倍。因此,手术室将被25%的老年人口占据,这就需要经验丰富、技术熟练的老年麻醉师。在所有心脏事件中,缺血性心脏病仍然是围手术期并发症的主要原因,占术后死亡的一半以上。在重大非心脏手术中,缺血性心脏病(IHD)病例的管理中,老年心血管生理学改变的知识、危险因素的识别、麻醉技术的优化和熟练选择和药物是重要的。我们报告一个成功的管理老年患者IHD和管理术中室性早搏发作在口腔恶性手术在全身麻醉下。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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