Anaesthetic Management of 66 year old with severely reduced ejection fraction Undergoing Gastrojejunostomy

Patients of gastric outlet obstruction are usually sick because of underlying pathology ,electrolyte imbalances and subsequent poor intake. Such  patients with cardiac compromise is further challenging . The combined risk of low ejection fraction and poor cardiac reserve may predispose to increase perioperative mortality. Complications in the perioperative period include acute exacerbation of heart failure which can arise from pump failure. Therefore, maintaining good systolic function and cardiac rhythm will ensure cardiovascular stability. We present the case of an 66 year old man k/c/o DMT2 who had severe LV systolic dysfunction with EF 25% that successfully had gastrojejunostomy under general anaesthesia.