Open AccessAnesthetic management of an elderly patient with kyphoscoliosis and dilated cardiomyopathy posted for abdominal hysterectomy and salpingo-oophorectomy
Author(s) -
Suvidha Sood,
Manjunath Kamath,
Anil Shetty
Publication year - 2015
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/1658-354x.154736
Subject(s) - medicine , abdominal distension , dilated cardiomyopathy , oophorectomy , ejection fraction , hysterectomy , abdominal hysterectomy , surgery , kyphoscoliosis , anesthesia , anesthetic , heart failure , cardiology , scoliosis
A 76-year-old kyphoscoliotic female patient presented with severe pain and sudden acute abdominal distension for 1-week and was diagnosed to have right-sided massive twisted ovarian cyst. The patient was a known case of hypertension, dilated cardiomyopathy with low 20% cardiac ejection fraction. Though very few incidences of multiple co-morbid conditions existing together in a single elderly patient have been reported in the past, it is important to titrate the dosage, type of anesthetic agents and their routes of administration in high risk patients.