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Yeungnam Univ J Med > Volume 25(2); 2008 > Article
Yeungnam University Journal of Medicine 2008;25(2):150-153.
DOI:    Published online December 31, 2008.
Anesthetic Induction in a Sitting Position for a Patient with Congestive Heart Failure.
Seung Dong Kim, Gul Jung, Dae Lim Jee
Department of Anesthesiology, College of Medicine, Yeungnam University, Daegu, Korea.
A 67-year-old woman with severe congestive heart failure (New York Heart Association, NYHA class IV) was set to receive general anesthesia for cardiac surgery. For several months, she had been in a constant sitting position from which the slightest change evoked dyspnea. A patient in such a condition is rarely considered a candidate for general anesthesia, because such patients are never eligible for any type of surgery other than that used to fix the heart problem itself. We report this case to explain how anesthesia was induced with the patient sitting in a crouching position and discuss other methods of induction that can probably be used in similar situations.
Key Words: Congestive heart failure, General anesthesia, Dyspnea


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