Anaesthetic management of appendectomy in a patient with cerebral arteriovenous malformation
Background: The aim of anaesthetic management for appendectomy in a patient with cerebral arteriovenous malformation (AVM) is to maintain a stable cardiovascular system. As this condition is rare, there are no definitive guidelines regarding the anaesthetic management of such patients. Case report: We report a case of appendectomy in a patient with cerebral AVM. The patient was diagnosed with cerebral AVM four years prior to presentation with acute appendicitis and was advised surgical intervention, which he refused. Management of this patient presenting with acute appendicitis is discussed. Conclusion: General anaesthesia may be used successfully for appendectomy in a patient with cerebral AVM if haemodynamic fluctuations at times of stress are minimised.
Keywords: appendectomy; arteriovenous malformation; general anaesthesia
By submitting manuscripts to SAJAA, authors of original articles are assigning copyright to the SA Society of Anaesthesiologists. Authors may use their own work after publication without written permission, provided they acknowledge the original source. Individuals and academic institutions may freely copy and distribute articles published in SAJAA for educational and research purposes without obtaining permission.