Ultrasound Guided Peripheral Nerve Block For Lower Limb Fracture Fixation In A Patient With Hypertrophied Obstructive Cardiomyopathy (HOCM)
Vol 5 | Issue 2 | July-December 2024 | Page 10-12| Pratik Bhange, Shruti Patil, Deepali Thakur
DOI: https://doi.org/10.13107/ijra.2024.v05.i02.96
Open Access License: CC BY-NC 4.0
Copyright Statement: Copyright © 2024; The Author(s).
Submitted: February 02-07-2024; Reviewed: 01-08-2024; Accepted: 22-07-2024; Published: 10-12-2024
Authors: Pratik Bhange [1], Shruti Patil [1], Deepali Thakur [1]
[1] Department of Anaesthesiology, LTMMC & GH, Mumbai, Maharashtra, India
Address of Correspondence
Dr. Pratik Bhange,
Department of Anaesthesiology, LTMMC & GH, Mumbai, Maharashtra, India
E-mail: pratikbhange96@gmail.com
Abstract
The presentation of hypertrophic obstructive cardiomyopathy may vary from an asymptomatic patient to sudden death. The changes in preload, afterload and ventricular contractility may occur due to surgery, anaesthesia and fluid shifts in the perioperative period. This causes worsening of the left ventricular outflow tract obstruction, ultimately causing myocardial ischemia and cardiac dysrhythmias. This case discusses successful anaesthesia management of a 49-year-old male with hypertrophic obstructive cardiomyopathy operated for tibia and fibula open reduction, internal fixation using ultrasound-guided sciatic and femoral nerve block. Transthoracic Echocardiography served as an additional monitoring modality to assess cardiac function intraoperatively. The patient underwent successful surgery with stable hemodynamics and reported excellent pain relief postoperatively.
Keywords: Hypertrophic obstructive cardiomyopathy, Transthoracic Echocardiography, Peripheral nerve block
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| How to Cite this Article: Bhange P, Patil S, Thakur D | Ultrasound Guided Peripheral Nerve Block For Lower Limb Fracture Fixation In A Patient With Hypertrophied Obstructive Cardiomyopathy (HOCM) | International Journal of Regional Anaesthesia | July-December 2024; 5(2): 13-15 | DOI: https://doi.org/10.13107/ijra.2024.v05.i02.96 |
