Key result
General anesthesia without invasive monitoring was successfully managed in a 38-year-old male with Eisenmenger syndrome undergoing emergency exploratory laparotomy, maintaining hemodynamic stability.
Why the study?
It remains an open question whether invasive monitoring techniques are mandatory for adult Eisenmenger syndrome patients undergoing surgery.
Case Report (n=1)
No
General anesthesia without invasive monitoring can be safely managed in patients with Eisenmenger syndrome undergoing short emergency non-cardiac surgeries.
May support non-invasive anesthesia in select Eisenmenger emergencies; leaves open prospective validation before practice consideration.
The Eisenmenger syndrome refers to condition when long standing congenital heart defect with an intracardiac communication leads to pulmonary hypertension that causes reversal of flow and cyanosis. It isn’t uncommon for patients with this syndrome live upto adulthood with or without corrective surgery. The requirement of Invasive monitoring or any other invasive procedures should be weighed against usefulness of aquired information and associated complications. The question arrises are Invasive Techniques mandatory for such patients?? This article reviews the anaesthesia considerations and management for a case of adult eisenmengers syndrome came with self inflicted stab wound over abdomen taken in for an emergency exploratory laparotomy.
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Shah et al. (2020) conducted a case report in Eisenmenger syndrome (n=1). General anesthesia without invasive monitoring was evaluated on Hemodynamic stability and postoperative complications. General anesthesia without invasive monitoring was successfully managed in a 38-year-old male with Eisenmenger syndrome undergoing emergency exploratory laparotomy, maintaining hemodynamic stability.
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