Anesthetic Challenges in an Elderly Patient with Rhino-orbital Mucormycosis, Uncontrolled Diabetes Mellitus, and Cardiac Autonomic Dysfunction for Emergency Surgical Debridement

Satish Kumar Mishra; Aditya Sapra; Pawanpreet Bhatti; P Manimaran

doi:10.5005/jp-journals-10049-2041

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Anesthetic Challenges in an Elderly Patient with Rhino-orbital Mucormycosis, Uncontrolled Diabetes Mellitus, and Cardiac Autonomic Dysfunction for Emergency Surgical Debridement

Satish Kumar Mishra, Aditya Sapra, Pawanpreet Bhatti, P Manimaran

Keywords : Cardiac autonomic neuropathy, Case report, Diabetes mellitus, Rhino-orbital mucormycosis

Citation Information : Mishra SK, Sapra A, Bhatti P, Manimaran P. Anesthetic Challenges in an Elderly Patient with Rhino-orbital Mucormycosis, Uncontrolled Diabetes Mellitus, and Cardiac Autonomic Dysfunction for Emergency Surgical Debridement. Res Inno Anesth 2024; 9 (1):24-27.

DOI: 10.5005/jp-journals-10049-2041

License: CC BY-NC 4.0

Published Online: 26-07-2024

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Abstract

This case report outlines the successful anesthetic management of a 78-year-old patient with rhino-orbital mucormycosis, uncontrolled diabetes mellitus (DM), cardiac autonomic neuropathy (CAN), and coronary artery disease (CAD) who underwent an emergency surgical debridement. The challenges included an anticipated difficult airway due to fungal debris, palatal perforation, and glottic edema, exacerbated by the patient's complex medical history. The presence of CAN heightened the risk of perioperative cardiovascular complications. The successful approach involved invasive monitoring, careful administration of medications, and a multidisciplinary strategy to address both anatomical and physiological airway difficulties. This report contributes to the understanding and preparation for anesthetic challenges in similar emergency scenarios involving elderly patients with multiple comorbidities.

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