The World Health Organization (WHO) has defined Rehabilitation as “the use of all available means, with the aim of reducing the impact of disability as well as the diseases that cause it, allowing the disabled to reach an optimal level of social integration “.
Enrique Varela-Donoso¹*, Miguel Suárez-Varela¹, Mª Ángeles Atín-Arratibel², Mª Victoria González-López Arza³, Raquel Valero¹ and Susana Muñoz-Lasa¹
Background: Anaesthetic management of patients with low ejection fraction secondary to dilated cardiomyopathy is a challenge to the anaesthetists as these patients are at increased risk of congestive cardiac failure, arrhythmias and sudden death.
Objective: To report a case of a 66 year old man with low ejection fraction secondary to dilated cardiomyopathy scheduled for Transurethral Resection of the Prostate Gland (TURP).
Method: Combined low dose spinal (2 ml of 0.5% of heavy Bupivacaine) and epidural anaesthesia was used in this patient to avoid drug induced myocardial depression of general anaesthesia. Patient had a bout of hypotension which was treated with 3mg of Ephedrine otherwise intraoperative and postoperative period were uneventful.
Conclusion: Anaesthesia for a patient with low ejection fraction secondary to dilated ardiomyopathy required that the patient should have a meticulous perioperative management to achieve a good outcome.
Adigun TA* and Sotunmbi PT