Abstract
Patients with limited reserve undergoing any noncardiac surgery is a challenge for anaesthesiologist and associated with high morbidity and mortality. Dilated cardiomyopathy is one of disorder with limited reserve. Anesthesiologist must be aware of different types of cardiomyopathies, associated preoperative evaluation and management of complications so as to conduct smooth anaesthesia. Patients with cardiomyopathy may be associated with other comorbidities and present to anesthesiologist for various emergency or elective cases. We reported a case of patient with dilated cardiomyopathy posted for open cholecystectomy. Along with DCM patient had history of chronic obstructive pulmonary disease with active rhonchi . We planned this case under thoracic epidural so as to avoid general anaesthesia.
Keywords: Anesthesia, thoracic epidural, dilated cardiomyopathy, Chronic obstructive airway disease (COPD)
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Corresponding Author
Dr Deepali Gomase Rahate
Sr. Consultant, Department of Anaesthesiology, Care Hospital, Nagpur
DOI: https://dx.doi.org/10.18535/jmscr/v8i3.13
