International Journal of Medical Anesthesiology
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P-ISSN: 2664-3766
E-ISSN: 2664-3774
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2023, Vol. 6, Issue 1, Part A

Anesthesia management of Intra-operative myocardial infarction in a patient posted for emergency spine surgery: A case report


Author(s): Dr. Prutha Dandawate, Dr. Sanya Arora, Dr. Vanchula Srinivasan and Dr. Balasaheb Govardhane

Abstract:
Aim: To understand the anesthesia management in a case of an adverse cardiac outcome intra-operatively
Background: Peri-operative Myocardial Infarction (PMI) is associated with a very high rate of morbidity and mortality, especially in patients posted for high-risk surgery with unknown cardiac status. We report a case of acute myocardial infarction in a patient without cardiac risk factors during decompression and instrumentation of spine.
Case Description: A 49-year-old, 58 kg and 178 cm man, with a raised blood pressure of 160/100 mm Hg, with no previous history of hypertension or cardiovascular diseases was posted for Emergency Decompression and Instrumentation surgery. Intra-operatively, patient developed sudden hypotension and ST segment elevation which was corrected with intravenous fluids, packed red cell, DAPT and anticoagulants. Patient improved clinically within 2 weeks and was discharged without complications.
Conclusion: Peri-operative Myocardial Infarction (PMI) requires close monitoring, prompt detection, correction of hemodynamics and team effort.
Clinical Significance: To outweigh the benefits of conducting a high-risk surgery in a patient with uncontrolled hypertension, to initiate timely symptomatic therapy, administering drugs that will maintain the coronary blood flow and giving definitive measures for the same.


DOI: 10.33545/26643766.2023.v6.i1a.370

Pages: 28-31 | Views: 908 | Downloads: 555

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International Journal of Medical Anesthesiology
How to cite this article:
Dr. Prutha Dandawate, Dr. Sanya Arora, Dr. Vanchula Srinivasan, Dr. Balasaheb Govardhane. Anesthesia management of Intra-operative myocardial infarction in a patient posted for emergency spine surgery: A case report. Int J Med Anesthesiology 2023;6(1):28-31. DOI: 10.33545/26643766.2023.v6.i1a.370
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