Unevaluated Severe pulmonary arterial hypertension: Monitored anesthesia care for emergency chronic subdural hygroma drainage using Scalp block and Dexmedetomidine – a case report

Dr Shalvi Mahajan; Dr Shekar Loganathan

Volume : IX, Issue : V, May - 2019

Unevaluated Severe pulmonary arterial hypertension: Monitored anesthesia care for emergency chronic subdural hygroma drainage using Scalp block and Dexmedetomidine – a case report

Dr Shalvi Mahajan, Dr Shekar Loganathan

Abstract :

Irrespective of etiology pulmonary artery hypertension (PAH) is a complex medical condition. Non cardiac surgeries in patients with PAH have high perioperative morbidity and mortality. Before any elective surgical procedure in patients with PAH – anesthesia, cardiology, pulmonology and surgical teams assess and optimize patients. But during emergency surgical intervention preoperative optimization may not possible. Hence, anesthesiologist always play lead role in management of these cases during surgery using techniques to minimize further increase in pulmonary artery pressures. Here we report a successful management of emergency burr hole evacuation of chronic subdural hygroma in a young male with unevaluated severe pulmonary artery hypertension using scalp block along with dexmedetomidine infusion