title: Anesthetic management of an elderly patient with kyphoscoliosis and dilated cardiomyopathy posted for abdominal hysterectomy and salpingo-oophorectomy.
abstract: A 76-year-old kyphoscoliotic female patient presented with severe pain and sudden acute abdominal distension for 1-week and was diagnosed to have right-sided massive twisted ovarian cyst. The patient was a known case of hypertension, dilated cardiomyopathy with low 20% cardiac ejection fraction. Though very few incidences of multiple co-morbid conditions existing together in a single elderly patient have been reported in the past, it is important to titrate the dosage, type of anesthetic agents and their routes of administration in high risk patients.
authors.affiliation: Department of Anesthesiology and Critical Care, KS Hegde Medical Academy, Deralakatte, Mangalore, Karnataka, India.
authors.forename: Suvidha
authors.initials: S
authors.lastname: Sood
authors.affiliation: Department of Anesthesiology and Critical Care, KS Hegde Medical Academy, Deralakatte, Mangalore, Karnataka, India.
authors.forename: Manjunath R
authors.initials: MR
authors.lastname: Kamath
authors.affiliation: Department of Anesthesiology and Critical Care, KS Hegde Medical Academy, Deralakatte, Mangalore, Karnataka, India.
authors.forename: Anil S
authors.initials: AS
authors.lastname: Shetty
keywords: Cardiomyopathy; epidural anesthesia; hypertension; low ejection fraction