KUMJ | VOL. 10 | NO. 2 | ISSUE 38 | APR-JUN, 2012
Anaesthetic Management of a Patient with Dermatomyositis and Valvular Heart Disease
Shrestha GS, Aryal D
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.
Keyword : Dermatomyositis, valvular heart disease, anaesthetic management
