Anesthetic management of a patient with heart failure and re
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Better medical facilities and an increase in life span have resulted in a considerable rise in the number of patients presenting for major abdominal surgery having heart failure with reduced ejection fraction (HFrEF) and moderate-to-severe diastolic dysfunction. Nearly 15.2% of such elderly patients undergoing noncardiac surgeries are associated with considerable perioperative morbidity and mortality due to increased risk of cardiac arrhythmias, rapid decompensation of heart failure and sudden cardiac arrest and death.The goals of anesthetic management in these patients for major surgery include optimization of preload, maximize forward flow, maintain stable hemodynamics and prevent complications such as arrhythmias and precipitation of heart failure.We report a case focusing on achieving an optimum cardiac output (CO) in a patient with heart failure with severely reduced ejection fraction using EV1000 monitor to obtain various dynamic parameters such as stroke volume (SV), SV variation (SVV), systemic vascular resistance (SVR) and CO...

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