Journal of Japanese Society of Dentistry for Medically Compromised Patient
Online ISSN : 1884-667X
Print ISSN : 0918-8150
ISSN-L : 0918-8150
General anesthesia management of a Geriatric Patient with Complete Left Bundle Branch Block
Koichi FusaShunichi OkaToru Misaki
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2000 Volume 8 Issue 1 Pages 7-12

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Abstract
Complete Left Bundle Branch Block (CLBBB) is a disturbance of the hearts' stimurational conduction. It is caused by hypertension, ischemic heart disease, and myocardiopathy.
In this case, we managed the patient, 87 years-Old female, with CLBBB.
In spite of transient incerasing of blood pressure, bradycaria, A-V blockoccured, with propofol in perioperative management.
The second day after Operation, there happened decreasing of oxygen partial pressure in arterial blood (PaO2), and opacitial sthenia of chest X-P presumed aterectasis.
We used Continuous Positive Airway Pressure (CPAP) to improve PaO2. Forth day after operation, PaO2 was improved.
We concluded that general anesthesia management with propofol is useful for high aged patient with CLBBB.
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© Japanese Society of Dentistry for Medicakky Comoromised Patient
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