Anaesthetic Management of a Patient with Low Ejection Fraction on CIED Posted for Hernioplasty

Dr. Jayprakash Galpalli | Dr. Aparajita Pandey | Dr. Priyesh Halgaonkar

Abstract: Patients with decreased ejection fraction and pacemaker posted for non cardiac surgeries poses challenge for anaesthesiologists. While managing patients with implantable electronic device, specific issues related to equipment characteristics and troubleshooting should be a priority for the anaesthesiologists 1. It is vital to know the interaction with anaesthetic manoeuvres and agents to safely anaesthetise the patients with any of these implanted devices. The implanted devices treat near - fatal conditions 1. This is a case report of a 80 yr old male patient with IHD (postcabg status), CIED and ejection fraction 15% posted for unilateral inguinal hernia repair. Taking in consideration of patient?s current cardiostability and age it was decided to conduct an open inguinal hernia repair with ilioinguinal and iliohypogastric nerve block. The CIED was synchronised to safe mode and using adequate amount of local anaesthetic agents and case was successfully conducted.

Keywords: CIED, Geriatric anaesthesia, Low Ejection Fraction, Inguinal Nerve block, Hernioplasty

Edition: Volume 12 Issue 12, December 2023,

Pages: 945 - 947