Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
권호 표지

Anesthetic Induction in a Sitting Position for a Patient with Congestive Heart Failure

울혈성 심부전증 환자의 앉은 자세에서의 마취 유도

  • Kim, Seung-Dong (Department of Anesthesiology, College of Medicine, Yeungnam University) ;
  • Jung, Gul (Department of Anesthesiology, College of Medicine, Yeungnam University) ;
  • Jee, Dae-Lim (Department of Anesthesiology, College of Medicine, Yeungnam University)
  • 김승동 (영남대학교 의과대학 마취통증의학과교실) ;
  • 정걸 (영남대학교 의과대학 마취통증의학과교실) ;
  • 지대림 (영남대학교 의과대학 마취통증의학과교실)
  • Published : 2008.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

A 67-year-old woman with severe congestive heart failure (New York Heart Association, NYHA class IV) was set to receive general anesthesia for cardiac surgery. For several months, she had been in a constant sitting position from which the slightest change evoked dyspnea. A patient in such a condition is rarely considered a candidate for general anesthesia, because such patients are never eligible for any type of surgery other than that used to fix the heart problem itself. We report this case to explain how anesthesia was induced with the patient sitting in a crouching position and discuss other methods of induction that can probably be used in similar situations.

Keywords