Graded Epidural Anaesthesia as the Sole Anaesthetic Technique for Bilateral Total Knee Replacement in a Patient with Low Ejection Fraction: A Case Report

Pooja Chandran; Ruby Perween; Boney John; Mohammed Shafiq Shajahan; Roopesh Ramesh

Archives of Anesthesia and Critical Care (Nov 2022)

Graded Epidural Anaesthesia as the Sole Anaesthetic Technique for Bilateral Total Knee Replacement in a Patient with Low Ejection Fraction: A Case Report

Pooja Chandran,
Ruby Perween,
Boney John,
Mohammed Shafiq Shajahan,
Roopesh Ramesh

Affiliations

Pooja Chandran: Department of Anaesthesiology and Critical Care, AIIMS, Rishikesh, Uttarakhand, India.
Ruby Perween: Department of Anaesthesiology and Critical Care, AIIMS, Rishikesh, Uttarakhand, India.
Boney John: Department of Anaesthesiology and Critical Care, AIIMS, Rishikesh, Uttarakhand, India.
Mohammed Shafiq Shajahan: Department of Anaesthesiology and Critical Care, AIIMS, Rishikesh, Uttarakhand, India.
Roopesh Ramesh: Department of Anaesthesiology and Critical Care, AIIMS, Rishikesh, Uttarakhand, India.

Journal volume & issue: Vol. 8, no. Supplement

Abstract

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In patients with cardiac disease, it’s always a challenge for the anaesthetist to administer general anaesthesia as well as central neuraxial blockade. The major perioperative task in these patients with low cardiac output is maintaining hemodynamic stability. Here, we are discussing a case of successful management of a geriatric patient having ischemic heart disease with ejection fraction of 25% posted for bilateral total knee replacement under graded epidural anaesthesia.

Published in Archives of Anesthesia and Critical Care

ISSN: 2423-5849 (Online)
Publisher: Tehran University of Medical Sciences
Country of publisher: Iran, Islamic Republic of
LCC subjects: Medicine: Surgery: Anesthesiology; Medicine: Internal medicine: Medical emergencies. Critical care. Intensive care. First aid
Website: https://aacc.tums.ac.ir

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