Abstract

The Sri Lankan Journal of Anaesthesiology is the official journal of the College of Anaesthesiologists of Sri Lanka. It publishes clinical investigations, research articles, audits, case reports, review articles and CME articles relating to anaesthesiology, critical care and pain. It is published bi annually in January and June. Sri Lankan Journal of Anaesthesiology is included on DOAJ and Scopus.

Highlights

  • The number of geriatric patients with cardiac electrophysiological disorders for non cardiac surgery is globally on a rise due to increasing availability of better medical facilities and diagnostic methods.[1]

  • We present a case of a patient with severe left ventricular dysfunction with implanted pacemaker with automated implantable cardioverter defibrillator (AICD) posted for hemiarthroplasty and discuss the anaesthetic challenges in such patients

  • In the United States sudden cardiac death (SCD) accounts for an estimated 350,000 lives lost per year and electrophysiological disorders account as a major cause of SCD.[3,4]

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Summary

Introduction

The number of geriatric patients with cardiac electrophysiological disorders for non cardiac surgery is globally on a rise due to increasing availability of better medical facilities and diagnostic methods.[1]. 20G intravenous line was secured in left hand and he was monitored for non invasive blood pressure, heart rate, pulse oximetry, ECG and urine output.

Results
Conclusion
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