title: Anesthesia management of surgery for sigmoid perforation and acute peritonitis patient following heart transplantation: case report.
abstract: Here we described a case in which a patient underwent emergency laparotomy for acute peritonitis and sigmoid perforation under general anesthesia with a history of heart transplantation. A good knowledge in the physiology of the transplanted heart is critical for effective and safe general anesthesia. We chose etomidate that have a weaker impact on cardiovascular function plus propofol for induction, and propofol plus cisatracurium for maintenance with intermittently analgesics and vasoactive drugs to facilitate the anesthesia. In addition, fluid input, electrolyte and acid-base balance were well adjusted during the whole procedure. The patient was in good condition after the surgery. In this case report we are aiming to provide some guidance for those scheduled for non-cardiac surgery after heart transplant.
authors.affiliation: Department of Anesthesiology, Affiliated Drum Tower Hospital of Medical School of Nanjing University Jiangsu Province, China.
authors.forename: Xu-Li
authors.initials: XL
authors.lastname: Yang
authors.affiliation: Department of Anesthesiology, Affiliated Drum Tower Hospital of Medical School of Nanjing University Jiangsu Province, China.
authors.forename: Shu-Hong
authors.initials: SH
authors.lastname: Dai
authors.affiliation: Department of Anesthesiology, Affiliated Drum Tower Hospital of Medical School of Nanjing University Jiangsu Province, China.
authors.forename: Juan
authors.initials: J
authors.lastname: Zhang
authors.affiliation: Department of Anesthesiology, Affiliated Drum Tower Hospital of Medical School of Nanjing University Jiangsu Province, China.
authors.forename: Jing
authors.initials: J
authors.lastname: Zhang
authors.affiliation: Department of Anesthesiology, Affiliated Drum Tower Hospital of Medical School of Nanjing University Jiangsu Province, China.
authors.forename: Yan-Jun
authors.initials: YJ
authors.lastname: Liu
authors.affiliation: Department of Anesthesiology, Affiliated Drum Tower Hospital of Medical School of Nanjing University Jiangsu Province, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Yang
authors.affiliation: Department of Anesthesiology, Affiliated Drum Tower Hospital of Medical School of Nanjing University Jiangsu Province, China.
authors.forename: Yu-E
authors.initials: YE
authors.lastname: Sun
authors.affiliation: Department of Anesthesiology, Affiliated Drum Tower Hospital of Medical School of Nanjing University Jiangsu Province, China.
authors.forename: Zheng-Liang
authors.initials: ZL
authors.lastname: Ma
authors.affiliation: Department of Anesthesiology, Affiliated Drum Tower Hospital of Medical School of Nanjing University Jiangsu Province, China.
authors.forename: Xiao-Ping
authors.initials: XP
authors.lastname: Gu
keywords: Anesthesia management; acute peritonitis patient; heart transplantation; sigmoid perforation