Adult eisenmenger syndrome for emergency exploratory laparotomy: Anaesthesia management without invasive monitoring

Abstract

The Eisenmenger syndrome refers to condition when long standing congenital heart defect with an intracardiac communication leads to pulmonary hypertension that causes reversal of flow and cyanosis. It isn’t uncommon for patients with this syndrome live upto adulthood with or without corrective surgery. The requirement of Invasive monitoring or any other invasive procedures should be weighed against usefulness of aquired information and associated complications. The question arrises are Invasive Techniques mandatory for such patients?? This article reviews the anaesthesia considerations and management for a case of adult eisenmengers syndrome came with self inflicted stab wound over abdomen taken in for an emergency exploratory laparotomy.