Int J Clin Exp Med 2015;8(6):9555-9559 www.ijcem.com /ISSN:1940-5901/IJCEM0007970
Original Article Anaesthetic management of laparoscopic surgery for rectal cancer in patients of dilated cardiomyopathy with poor ejection fraction: a case report Yao-Hua Wu1, Liang Hu1, Jin Xia1, Quan-Shui Hao1, Li Feng2, Hong-Bing Xiang2 Department of Anesthesiology, Huanggan Central Hospital, Huanggang 438000, Hubei, PR China; 2Department of Anesthesiology and Pain Medicine, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, PR China 1
Received March 14, 2015; Accepted May 20, 2015; Epub June 15, 2015; Published June 30, 2015 Abstract: A patient with dilated cardiomyopathy with poor ejection fraction posted for laparoscopic surgery for rectal cancer which was successfully performed under general anesthesia with endotracheal intubation and mechanical ventilation was reported. Our observations strongly indicate that detailed preoperative assessment, watchful intraoperative monitoring, and skillful optimization of fluid status and hemodynamic play important role in the high risk patient under general anesthesia with endotracheal intubation and mechanical ventilation. Keywords: Anaesthetic management, laparoscopic surgery, dilated cardiomyopathy
Introduction Dilated cardiomyopathy (DCM) that is characterized by ventricular dilation and impaired myocardial dilation is recognized as an important disorder that threatens human health and life [1-3]. DCM is well known to be defined by the presence of (a) fractional myocardial shortening
Original Article Anaesthetic management of laparoscopic surgery for rectal cancer in patients of dilated cardiomyopathy with poor ejection fraction: a case report Yao-Hua Wu1, Liang Hu1, Jin Xia1, Quan-Shui Hao1, Li Feng2, Hong-Bing Xiang2 Department of Anesthesiology, Huanggan Central Hospital, Huanggang 438000, Hubei, PR China; 2Department of Anesthesiology and Pain Medicine, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, PR China 1
Received March 14, 2015; Accepted May 20, 2015; Epub June 15, 2015; Published June 30, 2015 Abstract: A patient with dilated cardiomyopathy with poor ejection fraction posted for laparoscopic surgery for rectal cancer which was successfully performed under general anesthesia with endotracheal intubation and mechanical ventilation was reported. Our observations strongly indicate that detailed preoperative assessment, watchful intraoperative monitoring, and skillful optimization of fluid status and hemodynamic play important role in the high risk patient under general anesthesia with endotracheal intubation and mechanical ventilation. Keywords: Anaesthetic management, laparoscopic surgery, dilated cardiomyopathy
Introduction Dilated cardiomyopathy (DCM) that is characterized by ventricular dilation and impaired myocardial dilation is recognized as an important disorder that threatens human health and life [1-3]. DCM is well known to be defined by the presence of (a) fractional myocardial shortening
