“分次”硬膜外麻醉用于一名患有扩张型心肌病和严重左心室收缩功能障碍患者的肾移植手术。
"Graded" epidural anesthesia for renal transplant in a patient with dilated cardiomyopathy and severe left ventricle systolic dysfunction.
作者信息
Yadav Rupesh, Solanki Sohan Lal
机构信息
Department of Anesthesia, PGIMER and Dr. Ram Manohar Lohia Hospital, New Delhi, India.
Department of Anesthesiology, Critical Care and Pain, Tata Memorial Hospital, Mumbai, Maharashtra, India.
出版信息
Saudi J Anaesth. 2017 Apr-Jun;11(2):222-224. doi: 10.4103/1658-354X.203022.
Dilated cardiomyopathy with decreased contractility of left or both ventricles impose a serious risk to patient posted for major surgery. Even after best medical optimization, careful perioperative management with risk and benefit of general and regional anesthesia should be discussed beforehand. We here reporting a case of successful management of a patient with dilated cardiomyopathy with ejection fraction of 15% posted for renal transplant surgery under graded epidural anesthesia.
左心室或双心室收缩力降低的扩张型心肌病会给准备接受大手术的患者带来严重风险。即使经过最佳的药物优化治疗，也应事先讨论全身麻醉和区域麻醉的围手术期仔细管理及其风险和益处。我们在此报告一例扩张型心肌病患者成功管理的病例，该患者射血分数为15%，在分级硬膜外麻醉下接受肾移植手术。
Zotero 插件