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Discussion in 'Anesthesiology' started by apma77, Jan 4, 2009.
Any advantage to doing a spinal over GA for patient with EF less than 20%???
what type of surgery is the pt scheduled for?
I think you could argue either way.
I tend to feel that regional is most of the times a better option when you are dealing with heart failure.
Someone might say that if you cause a sudden drop in preload you might actually compromise the cardiac function further and produce tissue hypo perfusion.
I still think that if a case could be done under regional and avoid airway instrumentation and also produce excellent analgesia you would be doing the patient a great favor.
No problem with spinal as long as their filling pressures are normal. Knowing the EF gives you absolutely no idea about their filling pressures, and to me, I'd rather know the filling pressures than the EF.
The advantage of the general is they don't mind my TEE probe as much.