Journal of Anaesthesia & Critical Care Case Reports

Vol 5 | Issue 3 | Sep-Dec 2019 | page: 21-23  | Pooja Chopra, Amisha Vats Tiwari

Authors: Pooja Chopra [1], Amisha Vats Tiwari [1]

Address of Correspondence
Dr. Pooja Chopra,
W Pratiksha Hospital, Gurgaon, Haryana, India.
Email: pooja.chopra300@gmail.com

1 Department of Anaesthesia, W Pratiksha Hospital, Gurgaon, Haryana, India.

Patient with un-revascularized (coronary artery bypass grafting or angioplasty) severe coronary artery disease (CAD) poses a great challenge to the anaesthesiologist. Preoperative proper history, work up, risk stratification, optimisation, judicious anaesthesia plan, peri-operative management of pain and intravascular volume status are crucial factors in avoiding adverse outcomes in such patients. We describe successful anaesthesia management of a patient with double vessel disease (DVD) with Dobutamine Stress Echo (DSE) positive for inducible ischemia recommended for percutaneous transluminal coronary angioplasty (PTCA), who underwent semi-emergency hip arthroplasty under combined spinal epidural anaesthesia (CSE).
Keyword: Coronary Artery Disease, Double Vessel Disease, Hip Arthroplasty, Anaesthesia

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