A CASE REPORT ON THORACIC EPIDURAL AS THE SOLE ANAESTHETIC TECHNIQUE FOR A PATIENT WITH ISCHEMIC HEART DISEASE AND PECTUS CARINATUM COMING FOR UMBILICAL HERNIA REPAIR
Dr. Sanjay Kumar K. A.*, Dr. Prasad Kulkarni and Dr. Aditinandan V.
ABSTRACT
This case report highlights a 63-year-old male with a complex medical history, including ischemic heart disease and recent Percutaneous Transluminal Coronary Angioplasty. Presenting with umbilical swelling and abdominal pain, the patient underwent successful umbilical hernia repair under high-risk conditions (ASA III) due to cardiac concerns. Employing a graded epidural technique for anesthesia, meticulous monitoring of hemodynamics was crucial, given the patient's cardiac vulnerability. The discussion emphasizes the benefits of epidural anesthesia over general anesthesia in cardiac patients, emphasizing its impact on perioperative outcomes and cardiac stability. Additionally, the report explores the rare association of pectus carinatum with potential thoracolumbar scoliosis which may pose a difficulty with neuraxial anaesthesia techniques.
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