Eisenmenger Syndrome is a condition in our heart, which there is a shunt between right side and left side of the heart, the blood will flow from left to right because the left side of the heart has higher pressure than the right part.
It will make a condition called pulmonal hypertension. Later, beacuse of the [...]

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You must extra aware if the patient is having hypertension. Ask the patient about everything related to the hypertension.
Remember that hypertension will make the heart pumps faster to supply the blood for the organs. Remember the complications of hypertension ; heart failure, myocard infarct, stroke, kidney failure, etc.
Most anesthesia drugs will decrease the heart pump [...]

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Indication :
1. Lower abdomen surgery
2. Pelvic and rectal areas surgery
3. Lower limbs surgery
Contra Indication :
1. Spinal cord diseases
2. Injection place infection
3. Coagulation problems
4. Local anesthesia allergy
5. Uncompromised hypovolemic

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