Key result
General plus epidural anesthesia was successfully managed in a patient with dilated cardiomyopathy and end-stage renal disease undergoing emergency strangulated umbilical hernia repair.
Case Report (n=1)
Describes the anesthetic management of a complex patient with dilated cardiomyopathy and end-stage renal disease undergoing emergency surgery.
Should not yet change anesthesia protocols in cardiac-renal patients; leaves open need for prospective validation.
Dilated cardiomyopathy (DCMP) is a myocardial disease associated with dilatation of one or both the ventricles, impaired myocardial contractility, decreased cardiac output, and increased ventricular filling pressures. Patients with end-stage renal disease are dependent on renal replacement therapy to survive and often manifest with a variety of pathological organ dysfunction. We present a case of DCMP and chronic kidney disease posted for emergency reduction of strangulated umbilical hernia under general plus epidural anesthesia.
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Sindwani et al. (2017) conducted a case report in Dilated cardiomyopathy and end-stage renal disease (n=1). General plus epidural anesthesia was evaluated. General plus epidural anesthesia was successfully managed in a patient with dilated cardiomyopathy and end-stage renal disease undergoing emergency strangulated umbilical hernia repair.
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