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

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.