Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Oct 1993
ReviewValvular heart disease: Anesthetic considerations in non-cardiac surgery.
In all cases of valvular heart disease one should avoid heavy premedications. This will ensure that the balance between preload and afterload is maintained and will avoid respiratory depression which may aggravate pulmonary hypertension. ⋯ Controlled ventilation is safer than spontaneous ventilation. Appropriate monitoring is essential in every case.
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This paper reviews cardiac dysrhythmias occurring in the perioperative period. Electrocardiography was the first application of electronic monitoring to anesthesia care. The detection of dysrhythmias remains the most important use of this technology today. ⋯ The later two demand emergency management with DC cardioversion when perfusion is impaired. The major abnormality of conduction is complete heart block which usually requires emergency treatment in the perioperative period. Prompt evaluation and management of perioperative dysrhythmias reduce anesthetic morbidity and mortality.