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Chapter: Clinical Cases in Anesthesia : Mitral Stenosis

How would you optimize this patient’s condition preoperatively?

Before surgery, it is essential to optimize the physical condition in patients with mitral stenosis.

How would you optimize this patient’s condition preoperatively?

 

Before surgery, it is essential to optimize the physical condition in patients with mitral stenosis. The ventricular rate must be slow and, when atrial fibrillation is present, it should be controlled with drugs such as cardiac glycosides or β-adrenergic blockers. These drugs are continued until the time of surgery. Hypokalemia from diuretics is cor-rected to prevent digitalis toxicity and dysrhythmias. Although these patients are unusually sensitive to narcotics and central nervous system depressants, an adequate anesthetic premedication is important to prevent anxiety-induced tachycardia. Supplemental oxygen is indicated in transit to the operating room.

 

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Clinical Cases in Anesthesia : Mitral Stenosis : How would you optimize this patient’s condition preoperatively? |


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