Anesthetic Management of a Patient with Ischemic Heart Disease for Extended Totally Extraperitoneal Repair under General Anesthesia

Abstract

A patient with low ejection fraction was posted for laparoscopic repair of hernia by extraperitoneal technique, which was successfully done general anesthesia with endotracheal intubation. Arterial line was inserted for beat-to-beat arterial blood pressure monitoring. For pain control bilateral transversus abdominis plane block was given. The perioperative goal is to maintain forward flow, avoid inotropy and return the cardiac function to normal level without after surgery without inducing ischemia. With thorough preoperative assessment and optimisation and good intraoperative monitoring with management of the fluid status play an important role in optimisation of such cases.