title: Anaesthetic management of a patient with dermatomyositis and valvular heart disease.
abstract: Dermatomyositis is an idiopathic inflammatory myopathy with involvement of muscle, skin and other organs. Valvular heart disease increases the risk of perioperative adverse cardiac events. Only a little information is available about the anaesthetic management of a patient with dermatomyositis and valvular heart disease. Here we considered combined spinal-epidural technique for total abdominal hysterectomy, minimizing the risk of delayed recovery from muscle relaxants, aspiration pneumonitis, arrhythmias and cardiac failure.
authors.affiliation: Department of Anaesthesiology, Institute Of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal. gentlesunder@hotmail.com
authors.forename: G S
authors.initials: GS
authors.lastname: Shrestha
authors.forename: D
authors.initials: D
authors.lastname: Aryal
mesh_terms: D000767:Anesthesia, Epidural; D000775:Anesthesia, Spinal; D003882:Dermatomyositis / Q000150:complications*; D005260:Female; D006349:Heart Valve Diseases / Q000150:complications*; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged