Anaesthetic goals in patient with mitral stenosis (MS)
Anaesthetic goals: Maintenance of acceptable low heart rate Immediate treatment to atrial fibrillation and reversion to sinus rhythm Anaesthetic agents causing cardiac depression have to be avoided Maintenance of adequate SVR Maintenance of adequate venous return Avoidance of aortocaval compression Prevention of hypoxaemia, hypercarbia, hypothermia, acidosis which can precipitate increased pulmonary vascular resistance Prevention of pain and anaemia To remember the objectives in sequence: Heart rate and rhythm Preload and afterload Pulmonary vascular resistance