Key result
Combined spinal-epidural anesthesia was successfully used for an emergency appendectomy in a patient with severe dilated cardiomyopathy, providing adequate anesthesia and hemodynamic stability.
Case Report (n=1)
No
Combined spinal epidural anesthesia can be successfully used for emergency appendicectomy in patients with dilated cardiomyopathy.
May inform anesthetic planning in severe dilated cardiomyopathy; leaves open generalizability and safety without controlled data.
The anesthetic management of a patient with dilated cardiomyopathy (DCM) undergoing non-cardiac surgery poses a challenge for anesthesiologist either due to pre-existing or a risk of precipitating congestive heart failure. We report a successful use of combined spinal epidural for emergency appendicectomy in a patient of DCM. Different anesthetic concerns and agents, some recent advances are also discussed.
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Kumar et al. (2014) conducted a case report in Dilated cardiomyopathy and acute appendicitis (n=1). Combined spinal-epidural anesthesia was evaluated on Hemodynamic stability and successful surgical anesthesia. Combined spinal-epidural anesthesia was successfully used for an emergency appendectomy in a patient with severe dilated cardiomyopathy, providing adequate anesthesia and hemodynamic stability.
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