Polytechnic Medical Students' Research Association, Faculty of Medicine, Palestine Polytechnic University, Hebron, Palestine.
Medical Research Club, Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Ann Card Anaesth. 2024 Oct 1;27(4):352-356. doi: 10.4103/aca.aca_13_24. Epub 2024 Aug 28.
Bronchoscopy is a widely used technique for diagnostic and therapeutic purposes. Though it requires anesthesia, many options are available, depending on the patient's health status, the purpose of the procedure, and the type of bronchoscope used. One such health status is heart failure, a leading cause of death, and a common challenge of anesthesiology. We report a 60-year-old male patient who is a known case of heart failure with an ejection fraction of 15%, and an implanted cardioverter defibrillator, along with concurrent ischemic heart disease, diabetes mellitus, and hypertension, who presented complaining of dysphagia. This highly morbid patient was able to successfully undergo a bronchoscopic biopsy with nerve block anesthesia considering his inadequacy for conventional methods. This report aims to shed light on these challenging cases and alert anesthesiologists on how to manage such situations in patients with cardiac morbidities.
支气管镜检查是一种广泛应用于诊断和治疗目的的技术。虽然它需要麻醉，但有许多选择，具体取决于患者的健康状况、手术目的和使用的支气管镜类型。其中一种健康状况是心力衰竭，它是导致死亡的主要原因，也是麻醉学的常见挑战。我们报告了一例 60 岁男性患者，他患有已知的心力衰竭，射血分数为 15%，并植入了心脏复律除颤器，同时患有缺血性心脏病、糖尿病和高血压，他因吞咽困难就诊。考虑到该患者不适合常规方法，我们为其使用神经阻滞麻醉，成功为其进行了支气管镜活检。本报告旨在阐明这些具有挑战性的病例，并提醒麻醉师如何在患有心脏疾病的患者中处理此类情况。
