Anesthetic management of the patient with dilated cardiomyopathy undergoing pulmonary resection surgery: a case-based discussion.

摘要: Interactions between the cardiovascular and respiratory systems are complex profound. General anesthesia, muscle relaxation, positive-pressure ventilation all impose physiological effects on function. In patients presenting for pulmonary resection, additional resulting from positioning, 1-lung ventilation, surgical procedures, contraction of vascular bed may an burden. For most with adequate reserve, these well tolerated. However, cardiothoracic anesthesiologist be asked to provide anesthetic care significantly reduced cardiac function who require potentially curative resection lung cancer. These present a major perioperative challenge thoughtful approach intraoperative management is required. The authors review case patient severely impaired biventricular presented elective lobectomy in attempt effect cancer discussion pathophysiological considerations clinical management.