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Anesthesiology/subaracnoid block
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Question
hi, i am dr anil sharma practice as anaesthetist in india. i have a case for pcnl. patient had a history of inferior wall mi 3 months ago.At present Patient,s ecg show rbbb. can i give spinal anaesthesia for this case.patient also have history of copd.
Hi there
You can give spinal anaesthesia or general anaesthesia for this patient. Either way you chose you should try and maintain a good blood pressure, avoid tachycardia and avoid overdosing with fluids. As I'm sure you know avoiding tachycardia and increases in left ventricular filling pressure are best to maintain a good blood supply to the myocardium.
Dr Ian Jackson
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Anesthesiology
Answers by Expert:
Dr Ian Jackson - please note UK based
Expertise
I am a Consultant Anaesthetist in the UK. My interests include ambulatory or day surgery, obstetric anaesthesia and analgesia, acute pain management (use of epidurals and patient controlled analgesia)anaesthesia for surgery on the airway, orthopaedics and most things except brains and hearts. Interest in prehospital care of trauma and provision of medical cover at motorsport events.
Experience
Organizations
European Society of Regional Anaesthesia
British Association of Day Surgery
Obstetric Anaesthetists Association
Association of Anaesthetists
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