Prevention Of Cardiac Ischemia In The Surgical Patient - California ...

Anesthetic Choice
• If Regional anesthesia, high dermatomal levels may be
associated with significant hemodynamic changes,
including hypotension
• MAC with insufficient local anesthetic by surgeon can
lead to increased incidence of myocardial ischemia.
• The anesthesia provider must select the best approach
for the patient and type of surgery and hypoxemia and
hypotension should be avoided
ACC/AHA 2007 Guidelines on perioperative CV Evaluation and care for noncardiac surgery.