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Dilated Cardiomyopathy: Effect of Trendelenberg Position on Intraoperative Hemodynamics: Case Reports

Dineep Arvind, Consultant Anesthetist, Department of Anesthesia, Meditrina Hospital, Kollam, Kerala 691021, India. , Dineep Arvind

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Indian Journal of Anesthesia and Analgesia 8(3):p 409-411, May-June 2021. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.8321.58

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Dineep Arvind/Dilated Cardiomyopathy: Effect of Trendelenberg Position on Intraoperative Hemodynamics: Case Reports/Indian J Anesth Analg. 2021;8(3):409-411.
 


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Abstract

Preoperative cardiomyopathy is a significant anaesthetic challenge. We present the anaesthetic managementof two cases of dilated cardiomyopathy both with global LV hypokinesia and EF <35% Intervention. A low trendelenberg position (10º) was used in both cases which might have helped in maintaining preload and hence hemodynamic stability. Minimum fluid was administered in the intraoperative phase in both cases.

Conclusion: Maintaining a low trendelenberg position during anaesthesia with careful monitoring may be beneficial for hemodynamic stability in dilated cardiomyopathy patients


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Cite this article

 

Dineep Arvind/Dilated Cardiomyopathy: Effect of Trendelenberg Position on Intraoperative Hemodynamics: Case Reports/Indian J Anesth Analg. 2021;8(3):409-411.
 


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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.8321.58

Keywords

Dilated Cardiomyopathy; Anesthetic management; Trendelenberg position

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