Perioperative Management of Lower Limb Surgery in a Patient with Asymptomatic Left Ventricular Systolic Dysfunction: A Case Report.

IF 1.1 Q3 ANESTHESIOLOGY

Annals of Cardiac Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-04 DOI:10.4103/aca.aca_21_24

Saranya Nagalingam, Arunkumaar Srinivasan, Antony John Charles, V R Hemanth Kumar

引用次数: 0

Abstract

Abstract: Heart failure poses significant challenges in perioperative settings, with an increasing prevalence in India. While much attention has been given to the management of symptomatic heart failure, there is a dearth of literature on asymptomatic left ventricular systolic dysfunction (ALVSD). In this case report, we present the successful perioperative management of a 35-year-old male with ALVSD and a low ejection fraction undergoing lower limb surgery under combined spinal epidural anesthesia. Our approach aimed to maintain hemodynamic stability, minimize myocardial overload, and mitigate the adverse effects of neuraxial blockade.

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无症状左心室收缩功能障碍患者下肢手术的围手术期管理：病例报告。

摘要：心力衰竭是围手术期的重大挑战，在印度的发病率越来越高。有症状的心力衰竭的治疗备受关注，但无症状左心室收缩功能障碍（ALVSD）的相关文献却十分匮乏。在本病例报告中，我们介绍了一名患有 ALVSD 且射血分数较低的 35 岁男性患者在脊髓硬膜外联合麻醉下接受下肢手术的成功围手术期管理。我们的方法旨在维持血流动力学稳定，尽量减轻心肌负荷过重，并减轻神经阻滞的不良影响。

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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来源期刊

Annals of Cardiac Anaesthesia ANESTHESIOLOGY-

CiteScore

1.60

自引率

0.00%

发文量

147

审稿时长

26 weeks

期刊介绍： Annals of Cardiac Anaesthesia (ACA) is the official journal of the Indian Association of Cardiovascular Thoracic Anaesthesiologists. The journal is indexed with PubMed/MEDLINE, Excerpta Medica/EMBASE, IndMed and MedInd. The journal’s full text is online at www.annals.in. With the aim of faster and better dissemination of knowledge, we will be publishing articles ‘Ahead of Print’ immediately on acceptance. In addition, the journal would allow free access (Open Access) to its contents, which is likely to attract more readers and citations to articles published in ACA. Authors do not have to pay for submission, processing or publication of articles in ACA.