Graded Epidural Anaesthesia as the Sole Anaesthetic Technique for Bilateral Total Knee Replacement in a Patient with Low Ejection Fraction: A Case Report
In patients with cardiac disease, it’s always a challenge for the anaesthetist to administer general anaesthesia as well as central neuraxial blockade. The major perioperative task in these patients with low cardiac output is maintaining hemodynamic stability. Here, we are discussing a case of successful management of a geriatric patient having ischemic heart disease with ejection fraction of 25% posted for bilateral total knee replacement under graded epidural anaesthesia.
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