Anaesthetic Management of a Case with Dilated Cardiomyopathy with Global Hypokinesia Posted for Emergency Hernioplasty

Dilated cardiomyopathy(DCM) characterized by left ventricular or biventricular dilatation and impaired ventricular contractility. Anaesthetic management of these patients is quite challenging, because of the associated global ventricular dysfunction and predisposition of these patients to malignant arrhythmias perioperatively, both of which are aggravated by the myocardial depressant effect of anaesthetic drugs as well as surgical stress. We report successful anaesthetic management of a patient with DCM posted for emergency mesh repair of irreducible lumbar hernia.