Features of anesthesia in patients with heart failure

A.A. Pavlov, S.A. Lutsyk

Abstract


The presence of chronic heart failure is the main factor influencing the postoperative mortality. In patients with ejection fraction less than 40 %, mortality in the first year after surgery is generally 30 %. We have determined the three broad issues regarding the aspects of anesthesia in patients with chronic heart failure: the decision to continue previously prescribed drugs, selection of appropriate ­anesthetics, as well as the relevant range of vasoactive drugs. Anesthetic management has a significant evidential basis in terms of the clarifications which should be eliminated in a short time. Aspects of the heart failure exacerbation during surgery in patients with chronic heart failure are relevant and require further study.

Keywords


chronic heart failure; anesthesia; analgesia

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DOI: https://doi.org/10.22141/2224-0586.4.83.2017.107425

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