[Anesthetic management of a patient with dilated cardiomyopathy].
Using transesophageal echocardiography (TEE), we managed the anesthesia for a patient with dilated cardiomyopathy (DCM). Anesthesia was induced with midazolam and fentanyl, and vecuronium was used as a muscle relaxant. Anesthesia was maintained with oxygen-nitrous oxide-low concentration isoflurane. After the induction of anesthesia ejection fraction was 20%, but increased to 41% with the administration of dobutamine and amrinone. We conclude that TEE is a useful monitor in anesthetic management of a patient with DCM.
Kadoi
Y
Y
Department of Anesthesiology, Saitama Prefectural Ohara-Cardiovascular Center.
Koike
T
T
Fujita
N
N
D000768:Anesthesia, General; D002311:Cardiomyopathy, Dilated / Q000150:complications* / Q000503:physiopathology; D017548:Echocardiography, Transesophageal; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D011013:Pneumonectomy; D013318:Stroke Volume