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JYMS : Journal of Yeungnam Medical Science

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Seung Dong Kim 1 Article
Anesthetic Induction in a Sitting Position for a Patient with Congestive Heart Failure.
Seung Dong Kim, Gul Jung, Dae Lim Jee
Yeungnam Univ J Med. 2008;25(2):150-153.   Published online December 31, 2008
DOI: https://doi.org/10.12701/yujm.2008.25.2.150
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A 67-year-old woman with severe congestive heart failure (New York Heart Association, NYHA class IV) was set to receive general anesthesia for cardiac surgery. For several months, she had been in a constant sitting position from which the slightest change evoked dyspnea. A patient in such a condition is rarely considered a candidate for general anesthesia, because such patients are never eligible for any type of surgery other than that used to fix the heart problem itself. We report this case to explain how anesthesia was induced with the patient sitting in a crouching position and discuss other methods of induction that can probably be used in similar situations.

JYMS : Journal of Yeungnam Medical Science