Anesthetic Management for Simultaneous Surgery of Cardiac and Liver Echinococcosis

A 51-year-old male with constrictive pericarditis and hydratid cysts of the liver due to echinococcosis was scheduled for pericardiectomy and hepatic segmentectomy. Anesthesia was induced with thiamylal (4mg/kg) i. v., and maintained by nitrous oxide (66%) and isoflurane (1.0-2.0%) in oxygen (33%)....

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Published inNihon Rinshō Masui Gakkai shi Vol. 15; no. 3; pp. 255 - 258
Main Authors FUJIMURA, Naoyuki, KAWAMATA, Mikito, NAKAE, Yuri, SONODA, Hajime, MIYABE, Masayuki, NAMIKI, Akiyoshi
Format Journal Article
LanguageEnglish
Published THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA 1995
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Summary:A 51-year-old male with constrictive pericarditis and hydratid cysts of the liver due to echinococcosis was scheduled for pericardiectomy and hepatic segmentectomy. Anesthesia was induced with thiamylal (4mg/kg) i. v., and maintained by nitrous oxide (66%) and isoflurane (1.0-2.0%) in oxygen (33%). To increase cardiac index (CI), pericardiectomy was performed first, preparing cardiopulmonary bypass for accidental extensive bleeding and severe arrythmia during surgery. However, the surgery was performed uneventfully. Following this surgical procedure, CI increased from 2.35l/min/m2 to 3.82l/min/m2. Systemic blood pressure was maintained at 100/60mmHg even when bleeding occurred during hepatic segmentectomy. Isoflurane anesthesia, which is known to maintain heart rate and hepatic blood flow better than other inhalative anesthetics, appeared to be safe and useful during simultaneous surgery of cardiac and liver echinococcosis in the present patient.
ISSN:0285-4945
1349-9149
DOI:10.2199/jjsca.15.255