Anesthesia Management of HoLEP in Patient of Multiple Myeloma with Permanent Pacemaker In Situ
Manish Mohanlalji Kela
Keywords :
Case report, Holmium laser enucleation of the prostate, Multiple myeloma, Spinal anesthesia
Citation Information :
Kela MM. Anesthesia Management of HoLEP in Patient of Multiple Myeloma with Permanent Pacemaker In Situ. Res Inno Anesth 2024; 9 (1):28-30.
The author describes a successful perioperative management of 76-year-old male posted for holmium laser enucleation of the prostate (HoLEP) surgery. The patient was diagnosed with case of multiple myeloma and is on treatment with chemotherapeutic agents.
Associated comorbidities include hypertension with ischemic heart disease (IHD), status postcoronary artery bypass grafting (CABG) with permanent pacemaker in situ.
Kyle RA, Rajkumar SV. Multiple myeloma. Blood 2008;111(6):2962–2972. DOI: 10.1182/blood-2007-10-078022
Sonneveld P, Segeren CM. Changing concepts in multiple myeloma: from conventional chemotherapy to high-dose treatment. Eur J Cancer 2003;39(1):9–18. DOI: 10.1016/s0959-8049(02)00503-8
Park KJ, Menendez ME, Mears SC, et al. Patients with multiple myeloma have more complications after surgical treatment of hip fracture. Geriatr Orthop Surg Rehabil 2016;7:158–162. DOI: 10.1177/2151458516658330
Dabrowska DM, Gore C, Griffiths S, et al. Anaesthetic management of a pregnant patient with multiple myeloma. Int J Obstetric Anesth 2010;19:336–339. DOI: 10.1016/j.ijoa.2010.03.010
Binici O, Akyoi F. Combined sciatic-psoas compartment nerve block in a patient with multiple myeloma. East J Med 2016;21:197–199. DOI: 10.5505/ejm.2016.09719
Kalingarayar S, Nandhakumar A, Thennavan AS. Anaesthesia for fixation of repeated pathological fractures in a patient with multiple myeloma. Indian J Anaesth 2017;61:1009–1011. DOI: 10.4103/ija.IJA_467_17
Partin AW, Wein AJ, Kavoussi LR, et al. Campbell-Walsh Urology e-book: 4-volume set. Milton: Elsevier Health Sciences; 2015.
Schutz W. Transurethral electro-resection in patients with cardiac pacemakers. Urologe A 1979;18(5):247–249.
Chakravarthy M, Prabhakumar D, George A. Anaesthetic consideration in patients with cardiac implantable electronic devices scheduled for surgery. Indian J Anaesth 2017;61(9):736–743. DOI: 10.4103/ija.IJA_346_17
Crossley GH, Poole J, Rozner M, et al. The Heart Rhythm Society (HRS)/American Society of Anesthesiologists (ASA) expert consensus statement on the perioperative management of patients with implantable defibrillators, pacemakers and arrhythmia monitors: facilities and patient management. Heart Rhythm 2011;8(7):1114–1154. DOI: 10.1016/j.hrthm.2010.12.023
