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Case Reports
. 2013 Sep-Dec;7(3):399-401.
doi: 10.4103/0259-1162.123267.

Anesthetic management of emergency laparotomy in a case of ischemic cardiomyopathy with COPD

Saswata Bharati  1 , Dinesh K Singh  1
Affiliations
Case Reports

Anesthetic management of emergency laparotomy in a case of ischemic cardiomyopathy with COPD

Saswata Bharati et al. Anesth Essays Res. 2013 Sep-Dec.

Abstract

Anesthesia for non-cardiac surgeries in patients with ischemic cardiomyopathy with other co-morbidities is a challenging situation for anesthetists. The choice of anesthesia and anesthetic agents should be judicious and balanced to maintain optimum cardiac output and to avoid myocardial depression for a successful postoperative outcome. Here, we describe the anesthetic management for emergency exploratory laparotomy in a patient who was suffering from ischemic cardiomyopathy along with chronic obstructive pulmonary disease and was presented to the emergency operation theater for gastrointestinal tract perforation.

Keywords: Chronic obstructive pulmonary disease; dilated cardiomyopathy; ischemic cardiomyopathy.

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Conflict of interest statement

Conflict of Interest: None declared.

References

    1. Maron BJ, Towbin JA, Thiene G, Antzelevitch C, Corrado D, Arnett D, et al. Contemporary definitions and classification of the cardiomyopathies: An American Heart Association Scientific Statement from the Council on clinical cardiology, heart failure and transplantation committee; quality of care and outcomes research and functional genomics and translational biology interdisciplinary working groups; and Council on epidemiology and prevention. Circulation. 2006;113:1807–16. - PubMed
    1. Tabib A, Chalabreysse L, Barel C, Duracher C, Loire R, Malicier D, et al. Sudden death during anesthesia: Human error, drug related or cardiac death? Therapie. 2001;56:735–8. - PubMed
    1. Chang KH, Hanaoka K. Anesthetic management of patients with dilated cardiomyopathy undergoing non-cardiac surgery. Masui. 2004;53:1360–8. - PubMed
    1. Richardson P, McKenna W, Bristow M, Maisch B, Mautner B, O’Connell J, et al. Report of the 1995 world health organization/international society and federation of cardiology task force on the definition and classification of cardiomyopathies. Circulation. 1996;93:841–2. - PubMed
    1. Likoff MJ, Chandler SL, Kay HR. Clinical determinants of mortality in chronic congestive heart failure secondary to idiopathic dilated or to ischemic cardiomyopathy. Am J Cardiol. 1987;59:634–8. - PubMed

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