Child with dilated cardiomyopathy for colostomy closure: Anesthesia considerations

Abstract

Perioperative management of a patient with dilated cardiomyopathy (DCM) is challenging for an anesthetist in view of depressed function of myocardium, ventricular enlargement, risk of perioperative arrhythmia, and sudden cardiac death. Preoperative assessment, optimization of medical condition with drug therapy, and appropriate anesthesia management help in better perioperative outcome. Here, we discuss successful perioperative management of DCM in a child scheduled for colostomy closure under general and epidural anesthesia.

Keywords

• dilated cardiomyopathy
• epidural anesthesia
• general anesthesia
• pediatric patients