Key result
General anaesthesia with a ProSeal laryngeal mask airway was successfully used to manage a 77-year-old woman with severe dilated cardiomyopathy undergoing emergency laparotomy and hernia repair.
Case Report (n=1)
General anaesthesia with a ProSeal laryngeal mask airway can be successfully used for emergency non-cardiac surgery in patients with severe dilated cardiomyopathy.
Anecdotal success supports feasibility; leaves open safety and generalizability for emergency surgery in severe dilated cardiomyopathy.
Dilated cardiomyopathy (DCM) is characterized by impaired ventricular contractility and causes concern in anaesthetic management as it may sometimes predispose to malignant arrhythmias. A 77-year-old woman diagnosed to have irreducible umbilical hernia, was posted for emergency laparotomy and hernia repair. On examination, she belonged to American Society of Anesthesiologists (ASA) physical status grade III with a functional status of 4 metabolic equivalents (METs). She was also suffering from DCM with severe left ventricular (LV) dysfunction (LV ejection fraction 25%). This patient was successfully managed by administering general anaesthesia with ProSeal laryngeal mask airway. We report the detailed anaesthetic management of this patient who underwent emergency laparotomy and hernia repair.
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Rao et al. (2016) conducted a case report in Dilated cardiomyopathy with severe left ventricular dysfunction (n=1). General anaesthesia with ProSeal laryngeal mask airway was evaluated on Successful anaesthetic management. General anaesthesia with a ProSeal laryngeal mask airway was successfully used to manage a 77-year-old woman with severe dilated cardiomyopathy undergoing emergency laparotomy and hernia repair.
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