Anaesthetic Management for a Dilated Cardiomyopathy Patient, Scheduled for Lumbar Spine Surgery

Background: Dilated cardiomyopathy (DCM) is characterized by dilatation and impaired contraction of left or both ventricles. Diagnostic criteria are left ventricular ejection fraction less than 40% or fractional shortening less than 25%. Perioperative anesthetic management of these patients are very...

Full description

Saved in:
Bibliographic Details
Published in:Apollo medicine 2024-10, Vol.21 (1_suppl), p.S5-S7
Main Authors: Srivastava, Vinit K., Gangireddy, Hareendranath, Hamsa, Vellore Srikanth, Krishna, Yethirajyam Rama
Format: Article
Language:English
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c1247-8263ca662a5b447d70dc85c2a9a0c8c1853a132df127f8d2875f899e1eca12cd3
container_end_page S7
container_issue 1_suppl
container_start_page S5
container_title Apollo medicine
container_volume 21
creator Srivastava, Vinit K.
Gangireddy, Hareendranath
Hamsa, Vellore Srikanth
Krishna, Yethirajyam Rama
description Background: Dilated cardiomyopathy (DCM) is characterized by dilatation and impaired contraction of left or both ventricles. Diagnostic criteria are left ventricular ejection fraction less than 40% or fractional shortening less than 25%. Perioperative anesthetic management of these patients are very challenging for anesthesiologists and intensive care team. Case presentation: A 55-year-old female, presented with complaints of severe low-back ache with bilateral lower limb involvement without involvement of bladder and bowel. Severe cord compression at the L4-5 level and severe lumbar canal stenosis were detected by magnetic resonance imaging. Echocardiography showed that the left ventricle (LV) had global hypokinesia, with an ejection fraction of 25% to 30%. The planed surgical procedures were L4 lumbar laminectomy and L4-5 microdiscectomy. Conclusion: Continuous monitoring and control of hemodynamic parameters as well as central venous pressure guided fluid therapy is the cornerstone in improving outcome in patients with dilated cardiomyopathy for non-cardiac surgery.
doi_str_mv 10.1177/09760016241251977
format article
fullrecord <record><control><sourceid>sage_cross</sourceid><recordid>TN_cdi_crossref_primary_10_1177_09760016241251977</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_09760016241251977</sage_id><sourcerecordid>10.1177_09760016241251977</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1247-8263ca662a5b447d70dc85c2a9a0c8c1853a132df127f8d2875f899e1eca12cd3</originalsourceid><addsrcrecordid>eNp9kE1PwzAMhiMEEhPsB3DLD6AjdpuPHqfxKQ2BNDhXXpJundZ2StpD_z2txg0JX3zw81j2y9gdiAWA1g8i10oIUJgBSsi1vmAzREiTVBm8ZLNpnkzANZvHeBBjKVRSmhkrlg352O19V1n-Tg3tfO2bjpdt4MQfqyN13vEVBVe19dCeqNsP_JO6aoTu-cbuveuPIzHx677eUuCbU9V4vunDzofhll2VdIx-_ttv2Pfz09fqNVl_vLytluvEAmY6MahSS0ohyW2WaaeFs0ZapJyENRaMTAlSdCWgLo1Do2Vp8tyDtwRoXXrD4LzXhjbG4MviFKqawlCAKKaQij8hjc7i7MTx6-LQ9qEZT_xH-AE172bh</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Anaesthetic Management for a Dilated Cardiomyopathy Patient, Scheduled for Lumbar Spine Surgery</title><source>SAGE Open Access</source><source>Medknow Open Access Medical Journals</source><creator>Srivastava, Vinit K. ; Gangireddy, Hareendranath ; Hamsa, Vellore Srikanth ; Krishna, Yethirajyam Rama</creator><creatorcontrib>Srivastava, Vinit K. ; Gangireddy, Hareendranath ; Hamsa, Vellore Srikanth ; Krishna, Yethirajyam Rama</creatorcontrib><description>Background: Dilated cardiomyopathy (DCM) is characterized by dilatation and impaired contraction of left or both ventricles. Diagnostic criteria are left ventricular ejection fraction less than 40% or fractional shortening less than 25%. Perioperative anesthetic management of these patients are very challenging for anesthesiologists and intensive care team. Case presentation: A 55-year-old female, presented with complaints of severe low-back ache with bilateral lower limb involvement without involvement of bladder and bowel. Severe cord compression at the L4-5 level and severe lumbar canal stenosis were detected by magnetic resonance imaging. Echocardiography showed that the left ventricle (LV) had global hypokinesia, with an ejection fraction of 25% to 30%. The planed surgical procedures were L4 lumbar laminectomy and L4-5 microdiscectomy. Conclusion: Continuous monitoring and control of hemodynamic parameters as well as central venous pressure guided fluid therapy is the cornerstone in improving outcome in patients with dilated cardiomyopathy for non-cardiac surgery.</description><identifier>ISSN: 0976-0016</identifier><identifier>EISSN: 2213-3682</identifier><identifier>DOI: 10.1177/09760016241251977</identifier><language>eng</language><publisher>New Delhi, India: SAGE Publications</publisher><ispartof>Apollo medicine, 2024-10, Vol.21 (1_suppl), p.S5-S7</ispartof><rights>2024 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1247-8263ca662a5b447d70dc85c2a9a0c8c1853a132df127f8d2875f899e1eca12cd3</cites><orcidid>0000-0002-8430-7290</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/09760016241251977$$EPDF$$P50$$Gsage$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/09760016241251977$$EHTML$$P50$$Gsage$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,21945,27830,27901,27902,44921,45309</link.rule.ids></links><search><creatorcontrib>Srivastava, Vinit K.</creatorcontrib><creatorcontrib>Gangireddy, Hareendranath</creatorcontrib><creatorcontrib>Hamsa, Vellore Srikanth</creatorcontrib><creatorcontrib>Krishna, Yethirajyam Rama</creatorcontrib><title>Anaesthetic Management for a Dilated Cardiomyopathy Patient, Scheduled for Lumbar Spine Surgery</title><title>Apollo medicine</title><description>Background: Dilated cardiomyopathy (DCM) is characterized by dilatation and impaired contraction of left or both ventricles. Diagnostic criteria are left ventricular ejection fraction less than 40% or fractional shortening less than 25%. Perioperative anesthetic management of these patients are very challenging for anesthesiologists and intensive care team. Case presentation: A 55-year-old female, presented with complaints of severe low-back ache with bilateral lower limb involvement without involvement of bladder and bowel. Severe cord compression at the L4-5 level and severe lumbar canal stenosis were detected by magnetic resonance imaging. Echocardiography showed that the left ventricle (LV) had global hypokinesia, with an ejection fraction of 25% to 30%. The planed surgical procedures were L4 lumbar laminectomy and L4-5 microdiscectomy. Conclusion: Continuous monitoring and control of hemodynamic parameters as well as central venous pressure guided fluid therapy is the cornerstone in improving outcome in patients with dilated cardiomyopathy for non-cardiac surgery.</description><issn>0976-0016</issn><issn>2213-3682</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><recordid>eNp9kE1PwzAMhiMEEhPsB3DLD6AjdpuPHqfxKQ2BNDhXXpJundZ2StpD_z2txg0JX3zw81j2y9gdiAWA1g8i10oIUJgBSsi1vmAzREiTVBm8ZLNpnkzANZvHeBBjKVRSmhkrlg352O19V1n-Tg3tfO2bjpdt4MQfqyN13vEVBVe19dCeqNsP_JO6aoTu-cbuveuPIzHx677eUuCbU9V4vunDzofhll2VdIx-_ttv2Pfz09fqNVl_vLytluvEAmY6MahSS0ohyW2WaaeFs0ZapJyENRaMTAlSdCWgLo1Do2Vp8tyDtwRoXXrD4LzXhjbG4MviFKqawlCAKKaQij8hjc7i7MTx6-LQ9qEZT_xH-AE172bh</recordid><startdate>202410</startdate><enddate>202410</enddate><creator>Srivastava, Vinit K.</creator><creator>Gangireddy, Hareendranath</creator><creator>Hamsa, Vellore Srikanth</creator><creator>Krishna, Yethirajyam Rama</creator><general>SAGE Publications</general><scope>AFRWT</scope><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0002-8430-7290</orcidid></search><sort><creationdate>202410</creationdate><title>Anaesthetic Management for a Dilated Cardiomyopathy Patient, Scheduled for Lumbar Spine Surgery</title><author>Srivastava, Vinit K. ; Gangireddy, Hareendranath ; Hamsa, Vellore Srikanth ; Krishna, Yethirajyam Rama</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1247-8263ca662a5b447d70dc85c2a9a0c8c1853a132df127f8d2875f899e1eca12cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Srivastava, Vinit K.</creatorcontrib><creatorcontrib>Gangireddy, Hareendranath</creatorcontrib><creatorcontrib>Hamsa, Vellore Srikanth</creatorcontrib><creatorcontrib>Krishna, Yethirajyam Rama</creatorcontrib><collection>SAGE Open Access</collection><collection>CrossRef</collection><jtitle>Apollo medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Srivastava, Vinit K.</au><au>Gangireddy, Hareendranath</au><au>Hamsa, Vellore Srikanth</au><au>Krishna, Yethirajyam Rama</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anaesthetic Management for a Dilated Cardiomyopathy Patient, Scheduled for Lumbar Spine Surgery</atitle><jtitle>Apollo medicine</jtitle><date>2024-10</date><risdate>2024</risdate><volume>21</volume><issue>1_suppl</issue><spage>S5</spage><epage>S7</epage><pages>S5-S7</pages><issn>0976-0016</issn><eissn>2213-3682</eissn><abstract>Background: Dilated cardiomyopathy (DCM) is characterized by dilatation and impaired contraction of left or both ventricles. Diagnostic criteria are left ventricular ejection fraction less than 40% or fractional shortening less than 25%. Perioperative anesthetic management of these patients are very challenging for anesthesiologists and intensive care team. Case presentation: A 55-year-old female, presented with complaints of severe low-back ache with bilateral lower limb involvement without involvement of bladder and bowel. Severe cord compression at the L4-5 level and severe lumbar canal stenosis were detected by magnetic resonance imaging. Echocardiography showed that the left ventricle (LV) had global hypokinesia, with an ejection fraction of 25% to 30%. The planed surgical procedures were L4 lumbar laminectomy and L4-5 microdiscectomy. Conclusion: Continuous monitoring and control of hemodynamic parameters as well as central venous pressure guided fluid therapy is the cornerstone in improving outcome in patients with dilated cardiomyopathy for non-cardiac surgery.</abstract><cop>New Delhi, India</cop><pub>SAGE Publications</pub><doi>10.1177/09760016241251977</doi><orcidid>https://orcid.org/0000-0002-8430-7290</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0976-0016
ispartof Apollo medicine, 2024-10, Vol.21 (1_suppl), p.S5-S7
issn 0976-0016
2213-3682
language eng
recordid cdi_crossref_primary_10_1177_09760016241251977
source SAGE Open Access; Medknow Open Access Medical Journals
title Anaesthetic Management for a Dilated Cardiomyopathy Patient, Scheduled for Lumbar Spine Surgery
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-06T16%3A15%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-sage_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Anaesthetic%20Management%20for%20a%20Dilated%20Cardiomyopathy%20Patient,%20Scheduled%20for%20Lumbar%20Spine%20Surgery&rft.jtitle=Apollo%20medicine&rft.au=Srivastava,%20Vinit%20K.&rft.date=2024-10&rft.volume=21&rft.issue=1_suppl&rft.spage=S5&rft.epage=S7&rft.pages=S5-S7&rft.issn=0976-0016&rft.eissn=2213-3682&rft_id=info:doi/10.1177/09760016241251977&rft_dat=%3Csage_cross%3E10.1177_09760016241251977%3C/sage_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c1247-8263ca662a5b447d70dc85c2a9a0c8c1853a132df127f8d2875f899e1eca12cd3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_id=info:pmid/&rft_sage_id=10.1177_09760016241251977&rfr_iscdi=true