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CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2021; 08(03): 212-214
DOI: 10.1055/s-0040-1713726
Case Report

Dilated Cardiomyopathy and Prone Position: An Anesthetic Challenge

Bhavna Hooda
1   Department of Anaesthesia and Critical Care, Command Hospital (Southern Command), Pune, Maharashtra, India
,
Saurabh Sud 
1   Department of Anaesthesia and Critical Care, Command Hospital (Southern Command), Pune, Maharashtra, India
,
Deepak Dwivedi
1   Department of Anaesthesia and Critical Care, Command Hospital (Southern Command), Pune, Maharashtra, India
,
Sanjay K. Yadav
2   Department of Neurosurgery, Command Hospital (Southern Command), Pune, Maharashtra, India
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Abstract

The anesthetic management of a patient with dilated cardiomyopathy (DCM) for noncardiac surgery is challenging due to associated congestive heart failure, malignant dysrhythmias, sudden cardiac arrest, implanted rhythm devices, and thromboembolism. We report successful conduct of a case of DCM on cardiac resynchronization device with Cauda equina syndrome (CES) under general anesthesia in prone position. The anesthetic concerns specific to the pathophysiology of DCM are also discussed.

Keywords

cardiac resynchronization therapy device - dilated cardiomyopathy - prone position


Publication History

Article published online:
30 June 2020

© 2020. Indian Society of Neuroanaesthesiology and Critical Care. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Kaur H, Khetarpal R, Aggarwal S. Dilated cardiomyopathy: an anaesthetic challenge. J Clin Diagn Res 2013; 7 (06) 1174-1176
    PubMedGoogle Scholar
  • 2 Pradhan R, Vaidya PR, Shrestha RR, Parajuli S, Joshi HR, Shah BL. Dilated cardiomyopathy and anesthesia in prone position: a case report. Postgraduate Medical Journal of NAMS. 2016; 16: 42-45
    PubMedGoogle Scholar
  • 3 Raj R, Kumar M, Batra M. Anaesthetic management of a case of dilated cardiomyopathy for emergency appendectomy. Anesth Essays Res 2014; 8 (01) 105-107
    CrossrefPubMedGoogle Scholar
  • 4 Zhou Y, Liu L, Cheng T. et al Grade 3 echocardiographic diastolic dysfunction is associated with increased risk of major adverse cardiovascular events after surgery: a retrospective cohort study. Anesth Analg 2019; 129 (03) 651-658
    CrossrefPubMedGoogle Scholar
  • 5 Godfrey GEP, Peck MJE. Diastolic dysfunction in anaesthesia and critical care. BJA Educ 2016; 16 (09) 287-291
    CrossrefPubMedGoogle Scholar
  • 6 Davies MR, Cousins J. Cardiomyopathy and anaesthesia. Contin Educ Anaesth Crit Care Pain 2009; 9 (06) 189-193
    CrossrefPubMedGoogle Scholar
  • 7 Alhashemi JA, Cecconi M, Hofer CK. Cardiac output monitoring: an integrative perspective. Crit Care 2011; 15 (02) 214
    CrossrefPubMedGoogle Scholar
  • 8 Stone ME, Salter B, Fischer A. Perioperative management of patients with cardiac implantable electronic devices. Br J Anaesth 2011; 107 (Suppl. 01) i16-i26
    CrossrefPubMedGoogle Scholar
  • 9 Practice Advisory for the Perioperative Management of Patients with Cardiac Implantable Electronic Devices: Pacemakers and Implantable Cardioverter–Defibrillators 2020: An Updated Report by the American Society of Anesthesiologists Task Force on Perioperative Management of Patients with Cardiac Implantable Electronic Devices*. Anesthesiology 2020; 132 (02) 225-252
    CrossrefPubMedGoogle Scholar