[Anesthetic management of a patient with cardiac sarcoidosis].
We report the anesthetic management of a patient with cardiac sarcoidosis. Cardiac sarcoidosis is characterized by a high incidence of complete atrioventricular block, right bundle branch block, and ventricular arrhythmias. Cases of sudden death during stable cardiac function have been reported. Therefore, careful anesthetic management is necessary. The patient was premedicated with scopolamine, intramuscularly. Before the induction, he received lidocaine, propranolol, and pentazocine, intravenously. Anesthesia was induced with midazolam and vecuronium, and the trachea was intubated. Anesthesia was maintained with nitrous oxide, sevoflurane in oxygen. Anesthetic method adapted to prevent severe complications including sudden death resulted in good condition of the patient during the perioperative period.
Iwashita
H
H
Department of Anesthesia, Yamanashi Medical University.
Matsukawa
T
T
Ookawa
I
I
Iijima
T
T
Sato
I
I
Kumazawa
T
T
D000328:Adult; D000768:Anesthesia, General / Q000379:methods*; D018685:Anesthetics, Inhalation; D009202:Cardiomyopathies; D002574:Cervical Vertebrae / Q000601:surgery; D016757:Death, Sudden, Cardiac / Q000517:prevention & control; D004987:Ethers; D006801:Humans; D008297:Male; D008738:Methyl Ethers; D011229:Preanesthetic Medication; D012507:Sarcoidosis; D012601:Scopolamine / Q000008:administration & dosage; D000077149:Sevoflurane
D018685:Anesthetics, Inhalation; D004987:Ethers; D008738:Methyl Ethers; D000077149:Sevoflurane; D012601:Scopolamine