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CASE REPORT
Year : 2017  |  Volume : 18  |  Issue : 1  |  Page : 19-22

Anesthetic management of a patient with heart failure and reduced ejection fraction for radical cholecystectomy with liver resection surgery


1 Department of Anaesthesiology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India
2 Department of Cardiology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India

Correspondence Address:
Amit Kumar Mittal
A-3/225, Sector-5; Rohini, New Delhi - 110 085
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/TheIAForum.TheIAForum_5_17

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We report a case focusing on achieving an optimum cardiac output (CO) in a patient with heart failure with severely reduced ejection fraction using EV1000 monitor to obtain various dynamic parameters such as stroke volume (SV), SV variation (SVV), systemic vascular resistance (SVR), and CO. We optimized preload by SVV-guided intraoperative goal-directed fluid transfusion and modulated SVR using multipronged anesthetic techniques to decrease afterload and increase forward flow to improve CO in a patient undergoing radical cholecystectomy with wedge liver resection.


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