Anesthetic management of burn-associated dilated cardiomyopathy with difficult intubation for bilateral correction of ectropion

  • Nasrullah Sheikh Department of Anesthesiology, Security Forces Hospital, P.O. Box 3643, Riyadh 11481, Kingdom of Saudi Arabia.
  • Muhammad Salik Alfaisal University, College of Medicine, P.O.Box 50927, Riyadh 11533, Kingdom of Saudi Arabia.
  • Ahmed Faraz Alfaisal University, College of Medicine, P.O.Box 50927, Riyadh 11533, Kingdom of Saudi Arabia.
  • Mohamed Makhloof Aldahish Department of Anesthesiology, Security Forces Hospital, P.O. Box 3643, Riyadh 11481, Kingdom of Saudi Arabia.
Keywords: Anesthesia, Burns, Cardiomyopathy, Dilated, Ketamine, Propofol, Dopamine

Abstract

Anesthetic management of patients with dilated cardiomyopathy (DCM) can be challenging for anesthesiologists because it is associated with high perioperative mortality rate.

This case report describes successful management and important anesthetic considerations in a 15-year-old boy, a known case of burn-associated dilated cardiomyopathy, who underwent bilateral ectropion correction surgery.

In such patients,  it is imperative to have meticulous preoperative planning, wise selection of medications, and tailored anesthetic technique in order to achieve a favourable outcome.

Key words: Anesthesia; Burns; Cardiomyopathy, Dilated; Ketamine; Propofol; Dopamine

Citation: Sheikh N, Salik M, Faraz A, Aldahish MM. Anesthetic management of burn-associated dilated cardiomyopathy with difficult intubation for bilateral correction of ectropion. Anaesth. pain intensive care 2020;24(5):

Received: 22 August 2020, Reviewed: 23 August 2020, Accepted: 28 August 2020

Published
06-10-2020
How to Cite
Sheikh, N., Salik, M., Faraz, A., & Aldahish, M. M. (2020). Anesthetic management of burn-associated dilated cardiomyopathy with difficult intubation for bilateral correction of ectropion. Anaesthesia, Pain & Intensive Care, 24(5), 552-554. https://doi.org/10.35975/apic.v24i5.1363
Section
Case Reports