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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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