Abstract
A 61-year-old male with dilated cardiomyopathy (DCM) underwent total gastrectomy. Anesthesia was induced with fentanyl and midazolam and maintained with additional fentanyl, midazolam, and 66% nitrous oxide. Pen-operative hemodynamic changes were monitored by a Swan-Ganz catheter. We used dobutamine to enhance cardiac contractility, dopamine to increase renal blood flow, and prostaglandin E1 to decrease afterload. Cardiac output was maintained at adequate level. Neither circulatory failure nor other major complications were observed throughout the anesthetic course and thereafter.
