The role of intraoperative transesophageal echocardiographic monitoring in a patient with hypertrophic cardiomyopathy undergoing laparoscopic surgery
Abstract Hypertrophic cardiomyopathy (HCM) presents a significant perioperative challenge. Anesthetic drugs, patient positioning, and surgical technique can provoke worsening left ventricular outflow tract obstruction and hemodynamic deterioration. In this case report, we present the perioperative m...
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| Veröffentlicht in: | Journal of clinical anesthesia 2016-11, Vol.34, p.124-127 |
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| container_title | Journal of clinical anesthesia |
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| creator | Gregory, Stephen H., MD Fierro, Michael A., MD |
| description | Abstract Hypertrophic cardiomyopathy (HCM) presents a significant perioperative challenge. Anesthetic drugs, patient positioning, and surgical technique can provoke worsening left ventricular outflow tract obstruction and hemodynamic deterioration. In this case report, we present the perioperative management of a 70-year-old male with a history of HCM who underwent a robotic laparoscopic prostatectomy. Discussion focuses on the utilization of echocardiographic guidance in the care of patients with HCM undergoing noncardiac surgery, as well as the pathophysiology of laparoscopic insufflation and its effects on left ventricular outflow tract obstruction in HCM. |
| doi_str_mv | 10.1016/j.jclinane.2016.03.028 |
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Anesthetic drugs, patient positioning, and surgical technique can provoke worsening left ventricular outflow tract obstruction and hemodynamic deterioration. In this case report, we present the perioperative management of a 70-year-old male with a history of HCM who underwent a robotic laparoscopic prostatectomy. Discussion focuses on the utilization of echocardiographic guidance in the care of patients with HCM undergoing noncardiac surgery, as well as the pathophysiology of laparoscopic insufflation and its effects on left ventricular outflow tract obstruction in HCM.</description><identifier>ISSN: 0952-8180</identifier><identifier>EISSN: 1873-4529</identifier><identifier>DOI: 10.1016/j.jclinane.2016.03.028</identifier><identifier>PMID: 27687358</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abdomen ; Aged ; Anesthesia ; Anesthesia & Perioperative Care ; Blood pressure ; Cardiomyopathy ; Cardiomyopathy, Hypertrophic - diagnosis ; Echocardiography ; Echocardiography, Transesophageal ; Electrocardiography ; Heart rate ; Humans ; Hypertrophic ; Insufflation - adverse effects ; Laparoscopy ; Laparoscopy - adverse effects ; Male ; Monitoring, Intraoperative - methods ; Pain Medicine ; Patients ; Perioperative Care - methods ; Prostate cancer ; Prostatectomy - adverse effects ; Prostatic Neoplasms - surgery ; Robotic Surgical Procedures - adverse effects ; Surgery ; Transesophageal ; Ultrasonic imaging ; Ventricular Outflow Obstruction - physiopathology</subject><ispartof>Journal of clinical anesthesia, 2016-11, Vol.34, p.124-127</ispartof><rights>2016</rights><rights>Crown Copyright © 2016. Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Nov 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c431t-f84d24d2f8f47fb05e47c220160db38977d201d21c4f2358fd62ad18d5ac43ca3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2024087364?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27687358$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gregory, Stephen H., MD</creatorcontrib><creatorcontrib>Fierro, Michael A., MD</creatorcontrib><title>The role of intraoperative transesophageal echocardiographic monitoring in a patient with hypertrophic cardiomyopathy undergoing laparoscopic surgery</title><title>Journal of clinical anesthesia</title><addtitle>J Clin Anesth</addtitle><description>Abstract Hypertrophic cardiomyopathy (HCM) presents a significant perioperative challenge. Anesthetic drugs, patient positioning, and surgical technique can provoke worsening left ventricular outflow tract obstruction and hemodynamic deterioration. In this case report, we present the perioperative management of a 70-year-old male with a history of HCM who underwent a robotic laparoscopic prostatectomy. Discussion focuses on the utilization of echocardiographic guidance in the care of patients with HCM undergoing noncardiac surgery, as well as the pathophysiology of laparoscopic insufflation and its effects on left ventricular outflow tract obstruction in HCM.</description><subject>Abdomen</subject><subject>Aged</subject><subject>Anesthesia</subject><subject>Anesthesia & Perioperative Care</subject><subject>Blood pressure</subject><subject>Cardiomyopathy</subject><subject>Cardiomyopathy, Hypertrophic - diagnosis</subject><subject>Echocardiography</subject><subject>Echocardiography, Transesophageal</subject><subject>Electrocardiography</subject><subject>Heart rate</subject><subject>Humans</subject><subject>Hypertrophic</subject><subject>Insufflation - adverse effects</subject><subject>Laparoscopy</subject><subject>Laparoscopy - adverse effects</subject><subject>Male</subject><subject>Monitoring, Intraoperative - methods</subject><subject>Pain Medicine</subject><subject>Patients</subject><subject>Perioperative Care - methods</subject><subject>Prostate cancer</subject><subject>Prostatectomy - adverse effects</subject><subject>Prostatic Neoplasms - surgery</subject><subject>Robotic Surgical Procedures - adverse effects</subject><subject>Surgery</subject><subject>Transesophageal</subject><subject>Ultrasonic imaging</subject><subject>Ventricular Outflow Obstruction - physiopathology</subject><issn>0952-8180</issn><issn>1873-4529</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkstu1TAURSMEopfCL1SWmDBJ8CMPZ4JAFS-pEgPK2PK1TxKHJA520iofwv9ywm076ASkSNGR197WPttJcsFoxigr3_ZZbwY36QkyjnNGRUa5fJIcmKxEmhe8fpocaF3wVDJJz5IXMfaUUjxgz5MzXpWIFfKQ_L7ugAQ_APENcdMStJ8h6MXdAMFhihD93OkW9EDAdN7oYJ1vg547Z8joJ7f44KYWtUSTGYUwLeTWLR3pNnRagv9LnnTj5hHpNrJOFkLrd-GgZx18NH5GLK6hhbC9TJ41eojw6u5_nvz49PH68kt69e3z18sPV6nJBVvSRuaW49fIJq-aIy0grwzf90HtUci6qiwOljOTNxzjNrbk2jJpC40GRovz5M3Jdw7-1wpxUaOLBoYB9-rXqJjkVc1LLsr_QQu8WtQVoq8fob1fw4RBFKc8p7j6MkeqPFEG08cAjZqDG3XYFKNq71j16r5jtWdSVCjsGIUXd_brcQT7ILsvFYH3JwBwdTcOgooGazFgXQCzKOvdv-9498hip5zRw0_YID7kYSpyRdX3_aXtD42VgtJCSPEHR8HUIA</recordid><startdate>20161101</startdate><enddate>20161101</enddate><creator>Gregory, Stephen H., MD</creator><creator>Fierro, Michael A., MD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>7U7</scope><scope>C1K</scope></search><sort><creationdate>20161101</creationdate><title>The role of intraoperative transesophageal echocardiographic monitoring in a patient with hypertrophic cardiomyopathy undergoing laparoscopic surgery</title><author>Gregory, Stephen H., MD ; Fierro, Michael A., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c431t-f84d24d2f8f47fb05e47c220160db38977d201d21c4f2358fd62ad18d5ac43ca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abdomen</topic><topic>Aged</topic><topic>Anesthesia</topic><topic>Anesthesia & Perioperative Care</topic><topic>Blood pressure</topic><topic>Cardiomyopathy</topic><topic>Cardiomyopathy, Hypertrophic - diagnosis</topic><topic>Echocardiography</topic><topic>Echocardiography, Transesophageal</topic><topic>Electrocardiography</topic><topic>Heart rate</topic><topic>Humans</topic><topic>Hypertrophic</topic><topic>Insufflation - adverse effects</topic><topic>Laparoscopy</topic><topic>Laparoscopy - adverse effects</topic><topic>Male</topic><topic>Monitoring, Intraoperative - methods</topic><topic>Pain Medicine</topic><topic>Patients</topic><topic>Perioperative Care - methods</topic><topic>Prostate cancer</topic><topic>Prostatectomy - adverse effects</topic><topic>Prostatic Neoplasms - surgery</topic><topic>Robotic Surgical Procedures - adverse effects</topic><topic>Surgery</topic><topic>Transesophageal</topic><topic>Ultrasonic imaging</topic><topic>Ventricular Outflow Obstruction - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gregory, Stephen H., MD</creatorcontrib><creatorcontrib>Fierro, Michael A., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Journal of clinical anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gregory, Stephen H., MD</au><au>Fierro, Michael A., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of intraoperative transesophageal echocardiographic monitoring in a patient with hypertrophic cardiomyopathy undergoing laparoscopic surgery</atitle><jtitle>Journal of clinical anesthesia</jtitle><addtitle>J Clin Anesth</addtitle><date>2016-11-01</date><risdate>2016</risdate><volume>34</volume><spage>124</spage><epage>127</epage><pages>124-127</pages><issn>0952-8180</issn><eissn>1873-4529</eissn><abstract>Abstract Hypertrophic cardiomyopathy (HCM) presents a significant perioperative challenge. Anesthetic drugs, patient positioning, and surgical technique can provoke worsening left ventricular outflow tract obstruction and hemodynamic deterioration. In this case report, we present the perioperative management of a 70-year-old male with a history of HCM who underwent a robotic laparoscopic prostatectomy. Discussion focuses on the utilization of echocardiographic guidance in the care of patients with HCM undergoing noncardiac surgery, as well as the pathophysiology of laparoscopic insufflation and its effects on left ventricular outflow tract obstruction in HCM.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27687358</pmid><doi>10.1016/j.jclinane.2016.03.028</doi><tpages>4</tpages></addata></record> |
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| subjects | Abdomen Aged Anesthesia Anesthesia & Perioperative Care Blood pressure Cardiomyopathy Cardiomyopathy, Hypertrophic - diagnosis Echocardiography Echocardiography, Transesophageal Electrocardiography Heart rate Humans Hypertrophic Insufflation - adverse effects Laparoscopy Laparoscopy - adverse effects Male Monitoring, Intraoperative - methods Pain Medicine Patients Perioperative Care - methods Prostate cancer Prostatectomy - adverse effects Prostatic Neoplasms - surgery Robotic Surgical Procedures - adverse effects Surgery Transesophageal Ultrasonic imaging Ventricular Outflow Obstruction - physiopathology |
| title | The role of intraoperative transesophageal echocardiographic monitoring in a patient with hypertrophic cardiomyopathy undergoing laparoscopic surgery |
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