Key result
A combined general and epidural anesthetic technique, along with an intra-aortic balloon pump and transesophageal echocardiography, provided hemodynamic stability in a patient with severe dilated cardiomyopathy undergoing noncardiac surgery.
Case Report (n=1)
No
The combined use of an intra-aortic balloon pump, transesophageal echocardiography, and general/epidural anesthesia can provide safe hemodynamic management for patients with severe dilated cardiomyopathy undergoing major non-cardiac surgery.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for combined anesthetic and support strategies in severe dilated cardiomyopathy; prospective studies needed before wider adoption.
We report a case of a 37year old man, with history of rhabdomyosarcoma as a child. Patient developed severe dilated cardiomyopathy secondary to the treatment of the cancer. He presented for resection of the small bowel. An intra-aortic balloon pump (IABP) was placed preoperatively for mechanical cardiac support. A combined general/epidural technique was used for the surgery. Transesophageal echocardiogram (TEE) was used to monitor patients cardiac status intraoperatively. Patient remained hemodynamically stable and tolerated the procedure well.
No takes yet. Share an insight, caveat, or question.
Sarwar et al. (2015) conducted a case report in Severe dilated cardiomyopathy (n=1). Combined general/epidural anesthesia with IABP and TEE was evaluated on Hemodynamic stability and procedural tolerance. A combined general and epidural anesthetic technique, along with an intra-aortic balloon pump and transesophageal echocardiography, provided hemodynamic stability in a patient with severe dilated cardiomyopathy undergoing noncardiac surgery.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: