Showing posts from May, 2021

Anaesthetic goals in patient with mitral stenosis (MS)

 Anaesthetic goals: Maintenance of acceptable low heart rate  Immediate treatment to atrial fibrillation and reversion to sinus rhythm  Anaesthetic agents causing cardiac depression have to be avoided  Maintenance of adequate SVR Maintenance of adequate venous return  Avoidance of aortocaval compression  Prevention of hypoxaemia, hypercarbia, hypothermia, acidosis which can precipitate increased pulmonary vascular resistance  Prevention of pain and anaemia  To remember the objectives in sequence: Heart rate and rhythm Preload and afterload Pulmonary vascular resistance