Use of a Minimally Invasive Cardiac Output Monitor to Optimise Haemodynamics in a Patient with Mitral Valve Disease Undergoing Cerebrovascular Surgery
Patients with mitral valve disease undergoing cerebrovascular surgery face increased inherent risks due to their associated cardiac comorbidities. As such, the anaesthetic management of such patients is distinctly challenging. Simultaneous consideration of both the cerebrovascular and underlying car...
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| Format: | Article |
| Language: | English |
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Sultan Qaboos University
2017-08-01
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| Series: | Sultan Qaboos University Medical Journal |
| Subjects: | |
| Online Access: | https://journals.squ.edu.om/index.php/squmj/article/view/2235 |
| _version_ | 1830214003437076480 |
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| author | Ali M. Al-Mashani Niranjan D. Waje Neeraj Salhotra Samaresh Das Neelam Suri Rashid A. Al-Sheheimi Nilay Chatterjee |
| author_facet | Ali M. Al-Mashani Niranjan D. Waje Neeraj Salhotra Samaresh Das Neelam Suri Rashid A. Al-Sheheimi Nilay Chatterjee |
| author_sort | Ali M. Al-Mashani |
| collection | DOAJ |
| description | Patients with mitral valve disease undergoing cerebrovascular surgery face increased inherent risks due to their associated cardiac comorbidities. As such, the anaesthetic management of such patients is distinctly challenging. Simultaneous consideration of both the cerebrovascular and underlying cardiac conditions determines key anaesthetic issues, as fluids and vasopressors or inotropes need to be titrated according to haemodynamic variables in order to optimise cerebral blood flow without compromising cardiac function. We report a 45-yearold female patient with mild mitral stenosis and moderate-to-severe mitral regurgitation who presented to the Khoula Hospital, Muscat, Oman, in 2016 following a ruptured anterior communicating artery aneurysm requiring urgent surgical intervention. As highlighted in this case, the VolumeView EV1000™ (Edwards Lifesciences, Irvine, California, USA) system is a minimially invasive haemodynamic monitor that can help immensely in the perioperative management of such patients. |
| first_indexed | 2024-12-18T06:34:57Z |
| format | Article |
| id | doaj.art-2b22b10606a54406bc7f0c7073d99a7a |
| institution | Directory Open Access Journal |
| issn | 2075-051X 2075-0528 |
| language | English |
| last_indexed | 2024-12-18T06:34:57Z |
| publishDate | 2017-08-01 |
| publisher | Sultan Qaboos University |
| record_format | Article |
| series | Sultan Qaboos University Medical Journal |
| spelling | doaj.art-2b22b10606a54406bc7f0c7073d99a7a2022-12-21T21:17:47ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282017-08-0117334334710.18295/squmj.2017.17.03.0152155Use of a Minimally Invasive Cardiac Output Monitor to Optimise Haemodynamics in a Patient with Mitral Valve Disease Undergoing Cerebrovascular SurgeryAli M. Al-Mashani0Niranjan D. Waje1Neeraj Salhotra2Samaresh Das3Neelam Suri4Rashid A. Al-Sheheimi5Nilay Chatterjee6Departments of Neurosurgery, Intensive Care Unit & Pain Management, Khoula Hospital, Muscat, OmanDepartment of Cardiac Anaesthesia, Royal Hospital, Muscat, OmanDepartments of Neurosurgery, Intensive Care Unit & Pain Management, Khoula Hospital, Muscat, OmanDepartments of Anaesthesia, Intensive Care Unit & Pain Management, Khoula Hospital, Muscat, OmanDepartments of Anaesthesia, Intensive Care Unit & Pain Management, Khoula Hospital, Muscat, OmanAnaesthesia Residency Programme, Oman Medical Speciality Board, Muscat, OmanDepartments of Anaesthesia, Intensive Care Unit & Pain Management, Khoula Hospital, Muscat, OmanPatients with mitral valve disease undergoing cerebrovascular surgery face increased inherent risks due to their associated cardiac comorbidities. As such, the anaesthetic management of such patients is distinctly challenging. Simultaneous consideration of both the cerebrovascular and underlying cardiac conditions determines key anaesthetic issues, as fluids and vasopressors or inotropes need to be titrated according to haemodynamic variables in order to optimise cerebral blood flow without compromising cardiac function. We report a 45-yearold female patient with mild mitral stenosis and moderate-to-severe mitral regurgitation who presented to the Khoula Hospital, Muscat, Oman, in 2016 following a ruptured anterior communicating artery aneurysm requiring urgent surgical intervention. As highlighted in this case, the VolumeView EV1000™ (Edwards Lifesciences, Irvine, California, USA) system is a minimially invasive haemodynamic monitor that can help immensely in the perioperative management of such patients.https://journals.squ.edu.om/index.php/squmj/article/view/2235anesthesiacerebral aneurysmmitral valve stenosismitral valve regurgitationhemodynamicscardiac outputcase reportoman. |
| spellingShingle | Ali M. Al-Mashani Niranjan D. Waje Neeraj Salhotra Samaresh Das Neelam Suri Rashid A. Al-Sheheimi Nilay Chatterjee Use of a Minimally Invasive Cardiac Output Monitor to Optimise Haemodynamics in a Patient with Mitral Valve Disease Undergoing Cerebrovascular Surgery Sultan Qaboos University Medical Journal anesthesia cerebral aneurysm mitral valve stenosis mitral valve regurgitation hemodynamics cardiac output case report oman. |
| title | Use of a Minimally Invasive Cardiac Output Monitor to Optimise Haemodynamics in a Patient with Mitral Valve Disease Undergoing Cerebrovascular Surgery |
| title_full | Use of a Minimally Invasive Cardiac Output Monitor to Optimise Haemodynamics in a Patient with Mitral Valve Disease Undergoing Cerebrovascular Surgery |
| title_fullStr | Use of a Minimally Invasive Cardiac Output Monitor to Optimise Haemodynamics in a Patient with Mitral Valve Disease Undergoing Cerebrovascular Surgery |
| title_full_unstemmed | Use of a Minimally Invasive Cardiac Output Monitor to Optimise Haemodynamics in a Patient with Mitral Valve Disease Undergoing Cerebrovascular Surgery |
| title_short | Use of a Minimally Invasive Cardiac Output Monitor to Optimise Haemodynamics in a Patient with Mitral Valve Disease Undergoing Cerebrovascular Surgery |
| title_sort | use of a minimally invasive cardiac output monitor to optimise haemodynamics in a patient with mitral valve disease undergoing cerebrovascular surgery |
| topic | anesthesia cerebral aneurysm mitral valve stenosis mitral valve regurgitation hemodynamics cardiac output case report oman. |
| url | https://journals.squ.edu.om/index.php/squmj/article/view/2235 |
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