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COVID 19: A Stressor for Both the Patient and the Anesthesiologist

Terrence F Feldheim1, Margot Denham2, Wanda M Popescu3

  • 1Yale New Haven Hospital, New Haven, CT.

Journal of Cardiothoracic and Vascular Anesthesia
|March 8, 2021
PubMed

Insights

The COVID-19 pandemic increased cardiac events. Anesthesiologists should anticipate more perioperative cardiac complications, including acute cardiac decompensation during difficult intubations.

Area of Science:

  • Cardiology
  • Anesthesiology
  • Critical Care Medicine

Background:

  • The COVID-19 pandemic has led to increased cardiac morbidity and mortality.
  • Anesthesiologists must prepare for a rise in perioperative cardiac complications.

Observation:

  • This E-Challenge presents a case of acute cardiac decompensation.
  • The decompensation was triggered by an unanticipated difficult intubation.

Findings:

  • The patient experienced acute cardiac decompensation.
  • An unexpected echocardiographic finding was noted during the event.

Implications:

  • This case highlights the importance of recognizing cardiac risks in the perioperative period during the pandemic.
  • Anesthesiologists need to be vigilant for cardiac complications, especially during challenging airway management.
  • Echocardiography may reveal crucial information in cases of perioperative cardiac decompensation.

Keywords:
COVID-19acute coronary syndromecoronavirus disease 2019heart failureleft ventricular ejection fraction

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