Publication: Anaesthetic Management of a Patient with Dermatomyositis and Valvular Heart Disease
Date
2012
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Dermatomyositis is an idiopathic inflammatory myopathy with involvement
of muscle, skin and other organs. Valvular heart disease increases the risk of
perioperative adverse cardiac events. Only a little information is available about
the anaesthetic management of a patient with dermatomyositis and valvular
heart disease. Here we considered combined spinal-epidural technique for total
abdominal hysterectomy, minimizing the risk of delayed recovery from muscle
relaxants, aspiration pneumonitis, arrhythmias and cardiac failure.
KEY WORDS
Dermatomyositis, valvular heart disease, anaesthetic management
Description
Shrestha GS, Aryal D
Department of Anaesthesiology Institute Of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal