Kadoi Y, Koike T, Fujita N
Department of Anesthesiology, Saitama Prefectural Ohara-Cardiovascular Center.
Masui. 1996 Aug;45(8):1002-4.
Using transesophageal echocardiography (TEE), we managed the anesthesia for a patient with dilated cardiomyopathy (DCM). Anesthesia was induced with midazolam and fentanyl, and vecuronium was used as a muscle relaxant. Anesthesia was maintained with oxygen-nitrous oxide-low concentration isoflurane. After the induction of anesthesia ejection fraction was 20%, but increased to 41% with the administration of dobutamine and amrinone. We conclude that TEE is a useful monitor in anesthetic management of a patient with DCM.
我们使用经食管超声心动图（TEE）对一名扩张型心肌病（DCM）患者进行麻醉管理。麻醉诱导采用咪达唑仑和芬太尼，维库溴铵用作肌肉松弛剂。麻醉维持采用氧气 - 氧化亚氮 - 低浓度异氟烷。麻醉诱导后射血分数为20%，但在给予多巴酚丁胺和氨力农后增加至41%。我们得出结论，TEE在DCM患者的麻醉管理中是一种有用的监测手段。
