Anesthetic Management of an Elderly Patient with Dilated Cardiomyopathy and Hypothyroidism for Inter-Trochanteric Fracture

Authors

  • Deepika Subedi Department of Anaesthesiology. Rapti Adacemy of Health Sciences, Ghorai, Dang
  • Diptesh Aryal Department of Anaesthesiology, Medicity Hospital, Kathmandu
  • Anil Shrestha Department of Anaesthesiology, T. U, Teaching Hospital, Maharajgunj Medical Campus

Keywords:

Combined epidural spinal anesthesia, DCM, Elderly, Hypothyroidism

Abstract

 

 Dilated cardiomyopathy is a primary myocardial disease charac­terized by left ventricular or biventricular dilation and impaired contractility. The anesthetic management of a patient with dilat­ed cardiomyopathy undergoing a non-cardiac surgery is always challenging and may be associated with high mortality. Further­more, perioperative morbidity becomes more frequent in the el­derly with steep increases after the age of 75. We are reporting the successful anaesthetic management of a 93 years old patient with severe dilated cardiomyopathy planned for surgical repair of inter-trochanteric fracture under combined spinal anesthesia.

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Published

2019-09-25

How to Cite

Subedi, D., Aryal, D., & Shrestha, A. (2019). Anesthetic Management of an Elderly Patient with Dilated Cardiomyopathy and Hypothyroidism for Inter-Trochanteric Fracture. Journal of Chitwan Medical College, 9(3), 97–99. Retrieved from https://nepjol.info./index.php/JCMC/article/view/25791

Issue

Section

Case Reports