GENERAL ANESTHESIA FOR MILLER ENDOSCOPIC SURGERY IN AN ELDERLY PATIENT WITH HYPERTENSION, ATRIAL FIBRILLATION, LOWER EXTRIMITY VARICOSE VEIN

Ngo Xuan Ty1, Nguyen Ngoc Thach1,, Nguyen Van Quynh2
1 103 Military Hospital
2 Le Huu Trac National Burn Hospital

Main Article Content

Abstract

General anesthesia for non-cardiac surgery in elderly patients with chronic disease is a difficult problem for anesthesiologists because not only the physiology of patients and pharmacokinetics of drugs are changed, but also the rate of cardiovascular events is high. We present a case of a 71-year-old male patient who has low rectal cancer, hypertension, atrial fibrillation, varicose veins. The patient was made successful under general anesthesia for the Miles endoscopic surgery and was cared for at the surgical resuscitation department postoperative. The patient was discharged on the 5th day after surgery.

Article Details

References

1. Sylvia L. Ranjeva, Avery Tung and Daniel S. Rubin (2021). “Morbidity and mortality after acute myocardial infarction following elective major non-cardiac surgery ” J Cardiothorac Vasc Anesth 35(3): 834-842.
2. James B Froehlich and Kim A Eagle (2002). “Anaesthesia and the cardiac patient: the patient versus the procedure ” Heart 87 (1): 91-96.
3. Kaul, Tej K, Tayal, Geeta (2007). “Anaesthetic considerations in cardiac patients undergoing noncardiac surgery ” Indian Journal of Anaesthesia 51(4): 280-286.
4. Relin Yang, Matthew Wolfson and Michael C. Lewis (2011). “Unique aspects of the elderly surgical population ” Geriatr orthop surg rehabil 2(2): 56-64.
5. Florence E Turrentine (2006). “Surgical risk factors, morbidity and mortality in elderly patients ” J am coll surg 203(6): 865-877.
6. Hsiu-Rong Liao et al. (2012). “Atrial fibrillation: An anesthesiologist’s perspective ” Acta Anaesthesiological Taiwanica 51(2013): 34-36.
7. Erin M. Hald et al. (2018) “Atrial fibrillation and cause‐specific risks of pulmonary embolism and ischemic stroke ” Journal of the American Heart Association;7.
8. Shyue – Luen Chang et al. (2018). “ Association of varicose veins with incident venous thromboembolism and peripheral artery disease ” JAMA;319(8):807-817.
9. Nguyễn Thị Quý (2011). “Bảo vệ cơ tim: Thuốc và thuốc mê hô hấp” https://timmachhoc.vn/bo-v-c-tim-thuc-va-thuc-me-ho-hp/