title: Anesthetic management of emergency laparotomy in a case of ischemic cardiomyopathy with COPD.
abstract: Anesthesia for non-cardiac surgeries in patients with ischemic cardiomyopathy with other co-morbidities is a challenging situation for anesthetists. The choice of anesthesia and anesthetic agents should be judicious and balanced to maintain optimum cardiac output and to avoid myocardial depression for a successful postoperative outcome. Here, we describe the anesthetic management for emergency exploratory laparotomy in a patient who was suffering from ischemic cardiomyopathy along with chronic obstructive pulmonary disease and was presented to the emergency operation theater for gastrointestinal tract perforation.
authors.affiliation: Department of Anaesthesiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
authors.forename: Saswata
authors.initials: S
authors.lastname: Bharati
authors.affiliation: Department of Anaesthesiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
authors.forename: Dinesh K
authors.initials: DK
authors.lastname: Singh
keywords: Chronic obstructive pulmonary disease; dilated cardiomyopathy; ischemic cardiomyopathy