Update Anesthetic Management of Patients with Cardiomyopathy
Hany Gerges Hanalla;
Abstract
Cardiomyopathy could be classified pathophysiologically into three main types: -
1- Hypertrophic cardiomyopathy.
2- Dilated Cardiomyopathy.
3- Restrictive cardiomyopathy.
(DCM) (HCM) (RCM)
Preoperative investigations are needed to estimate the myocardial efficiency and to specify the monitors and the anesthetic plan to be followed during surgery.
In preparation of the anesthetic plan of cardiomyopathy patients, each patient must be evaluated before surgery to determine the type of cardiac lesion, cardiac efficiency, the hemodynamic derangement and how it could be compensated.
All of volatile anesthetic agents have a depressant effect on myocardial contractility so they can be replaced by narcotic analgesics such as fentanyl, sufentanyl and alfentanyl to ensure preservation of myocardial contractility.
1- Hypertrophic cardiomyopathy.
2- Dilated Cardiomyopathy.
3- Restrictive cardiomyopathy.
(DCM) (HCM) (RCM)
Preoperative investigations are needed to estimate the myocardial efficiency and to specify the monitors and the anesthetic plan to be followed during surgery.
In preparation of the anesthetic plan of cardiomyopathy patients, each patient must be evaluated before surgery to determine the type of cardiac lesion, cardiac efficiency, the hemodynamic derangement and how it could be compensated.
All of volatile anesthetic agents have a depressant effect on myocardial contractility so they can be replaced by narcotic analgesics such as fentanyl, sufentanyl and alfentanyl to ensure preservation of myocardial contractility.
Other data
| Title | Update Anesthetic Management of Patients with Cardiomyopathy | Other Titles | الحديث فى العلاج التخديرى لمرضى وهن عضلة القلب | Authors | Hany Gerges Hanalla | Issue Date | 2001 |
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