Anesthetic management of a patient with ischemic heart disease posted for open reduction internal fixation of the upper limb

Patients undergoing noncardiac surgery may develop cardiac complications. Perioperative myocardial infarction (PMI) may be an important predictor of short- and long-term morbidity and mortality associated with noncardiac surgery. The etiology of PMI can be multifactorial; hence, it is indicated that one single intervention will not successfully improve cardiac outcome following noncardiac surgery and multifactorial stepwise approach. Perioperative management of ischemic heart disease (IHD) patients undergoing noncardiac surgery requires careful teamwork and communication between the patient, primary care physician, anesthesiologist, and surgeon.