Prilocaine 2% for Spinal Anesthesia in Incarcerated Inguinal Hernia Surgery with Congestive Heart Failure
Introduction: Congestive heart failure (CHF) is a disease caused by abnormalities in the myocardium. This abnormality reduces the heart's ability to pump blood throughout the body. Anesthetic drugs have a major cardiovascular effect under general and regional anesthesia. Objective: This study a...
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| Format: | Article |
| Language: | English |
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Universitas Airlangga, Faculty of Medicine
2023-07-01
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| Series: | Indonesian Journal of Anesthesiology and Reanimation (IJAR) |
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| Online Access: | https://e-journal.unair.ac.id/IJAR/article/view/45069 |
| _version_ | 1797765109310816256 |
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| author | Mirza Koeshardiandi Pandhu Mahendra Bisama Dian Muhammad Gibran |
| author_facet | Mirza Koeshardiandi Pandhu Mahendra Bisama Dian Muhammad Gibran |
| author_sort | Mirza Koeshardiandi |
| collection | DOAJ |
| description | Introduction: Congestive heart failure (CHF) is a disease caused by abnormalities in the myocardium. This abnormality reduces the heart's ability to pump blood throughout the body. Anesthetic drugs have a major cardiovascular effect under general and regional anesthesia. Objective: This study aims to examine the effect of prilocaine as a subarachnoid block regional anesthetic drug in patients undergoing non-cardiac surgery with comorbid heart failure. Case Report: A 59-year-old man came complained of a lump in his left upper groin that had been present since a day before his admission to the hospital. The lump could not be inserted. The patient felt pain in the lump area with a visual analog score (VAS) of 7-8. His blood pressure was 138/84 mmHg, pulse rate was 104 times per minute, respiration rate was 22 times per minute, temperature was 36oC for axillary measurement, oxygen saturation was 92% based on room oxygen, and VAS was 7-8. The abdominal examination revealed a lump in the patient's left upper groin that could not be reinserted, hyperemic, and painful when pressed. With an EF Teich of 17.1%, the echocardiographic examination revealed that the dimensions of the patient’s heart chambers (RV and LV dilatation) and LV systolic function had decreased. Conclusion: Stable hemodynamics in non-cardiac surgery with a relatively short duration is the main choice for HF patients. Spinal anesthesia with a regimen of 2% prilocaine at a dose of 80 mg plus 0.1 mg morphine resulted in stable hemodynamics and low pain scores in patients with comorbid congestive heart failure undergoing non-cardiac surgery. |
| first_indexed | 2024-03-12T20:06:20Z |
| format | Article |
| id | doaj.art-0bb3860ede3f498e99587d46143d534c |
| institution | Directory Open Access Journal |
| issn | 2722-4554 2686-021X |
| language | English |
| last_indexed | 2024-03-12T20:06:20Z |
| publishDate | 2023-07-01 |
| publisher | Universitas Airlangga, Faculty of Medicine |
| record_format | Article |
| series | Indonesian Journal of Anesthesiology and Reanimation (IJAR) |
| spelling | doaj.art-0bb3860ede3f498e99587d46143d534c2023-08-02T02:02:50ZengUniversitas Airlangga, Faculty of MedicineIndonesian Journal of Anesthesiology and Reanimation (IJAR)2722-45542686-021X2023-07-0152889510.20473/ijar.V5I22023.88-9543154Prilocaine 2% for Spinal Anesthesia in Incarcerated Inguinal Hernia Surgery with Congestive Heart FailureMirza Koeshardiandi0https://orcid.org/0000-0002-4442-8063Pandhu Mahendra Bisama1https://orcid.org/0000-0002-8492-3878Dian Muhammad Gibran2https://orcid.org/0000-0002-4946-6771Department of Anaestesiology and Reanimation dr. Soedono General Hospital, Madiun, IndonesiaDepartment of Anaestesiology and Reanimation dr. Soedono General Hospital, Madiun, IndonesiaDepartment of Anaestesiology and Reanimation dr. Soedono General Hospital, Madiun, IndonesiaIntroduction: Congestive heart failure (CHF) is a disease caused by abnormalities in the myocardium. This abnormality reduces the heart's ability to pump blood throughout the body. Anesthetic drugs have a major cardiovascular effect under general and regional anesthesia. Objective: This study aims to examine the effect of prilocaine as a subarachnoid block regional anesthetic drug in patients undergoing non-cardiac surgery with comorbid heart failure. Case Report: A 59-year-old man came complained of a lump in his left upper groin that had been present since a day before his admission to the hospital. The lump could not be inserted. The patient felt pain in the lump area with a visual analog score (VAS) of 7-8. His blood pressure was 138/84 mmHg, pulse rate was 104 times per minute, respiration rate was 22 times per minute, temperature was 36oC for axillary measurement, oxygen saturation was 92% based on room oxygen, and VAS was 7-8. The abdominal examination revealed a lump in the patient's left upper groin that could not be reinserted, hyperemic, and painful when pressed. With an EF Teich of 17.1%, the echocardiographic examination revealed that the dimensions of the patient’s heart chambers (RV and LV dilatation) and LV systolic function had decreased. Conclusion: Stable hemodynamics in non-cardiac surgery with a relatively short duration is the main choice for HF patients. Spinal anesthesia with a regimen of 2% prilocaine at a dose of 80 mg plus 0.1 mg morphine resulted in stable hemodynamics and low pain scores in patients with comorbid congestive heart failure undergoing non-cardiac surgery.https://e-journal.unair.ac.id/IJAR/article/view/45069cardiovascular disorderscongestive heart failureherniaprilocainespinal anesthesia |
| spellingShingle | Mirza Koeshardiandi Pandhu Mahendra Bisama Dian Muhammad Gibran Prilocaine 2% for Spinal Anesthesia in Incarcerated Inguinal Hernia Surgery with Congestive Heart Failure Indonesian Journal of Anesthesiology and Reanimation (IJAR) cardiovascular disorders congestive heart failure hernia prilocaine spinal anesthesia |
| title | Prilocaine 2% for Spinal Anesthesia in Incarcerated Inguinal Hernia Surgery with Congestive Heart Failure |
| title_full | Prilocaine 2% for Spinal Anesthesia in Incarcerated Inguinal Hernia Surgery with Congestive Heart Failure |
| title_fullStr | Prilocaine 2% for Spinal Anesthesia in Incarcerated Inguinal Hernia Surgery with Congestive Heart Failure |
| title_full_unstemmed | Prilocaine 2% for Spinal Anesthesia in Incarcerated Inguinal Hernia Surgery with Congestive Heart Failure |
| title_short | Prilocaine 2% for Spinal Anesthesia in Incarcerated Inguinal Hernia Surgery with Congestive Heart Failure |
| title_sort | prilocaine 2 for spinal anesthesia in incarcerated inguinal hernia surgery with congestive heart failure |
| topic | cardiovascular disorders congestive heart failure hernia prilocaine spinal anesthesia |
| url | https://e-journal.unair.ac.id/IJAR/article/view/45069 |
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