術前にＩＡＢＰを挿入し，麻酔管理を行なった拡張型心筋症の１例

DOI

書誌事項

タイトル別名
  • Intra-aortic Balloon Pumping in a High-risk Patient with Dilated Cardiomyopathy Undergoing Gastrectomy.

抄録

A 57-year-old woman complicated with severe dilated cardiomyopathy (DCM) successfully underwent gastrectomy utilizing intra-aortic balloon pumping (IABP).Because her left ventricular function had been excessively impaired (LVEF= 17% on echocardiography), we planned to insert an IABP device prior to induction of anesthesia as a perioperative circulatory assist. We had difficulty in obtaining her and her family's informed consent for anesthesia because of high-risk anesthetic complication. Anesthesia was induced with intravenous midazolam and fentanyl, and maintained with nitrous oxide and continuous epidural morphine. During induction of anesthesia we started IABP and administration of dopamine and dobutamine as soon as hypotension occurred.After that, her hemodynamic status greatly improved and her perioperative course was uneventful. This experience suggests that IABP is useful in perioperative management of patients with severe cardiac dysfunction such as DCM.

収録刊行物

詳細情報 詳細情報について

  • CRID
    1390001204758249728
  • NII論文ID
    130003581019
  • DOI
    10.2199/jjsca.14.798
  • ISSN
    13499149
    02854945
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
    • Crossref
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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