A 65-year-old woman presented to an emergency department for aortic valve replacement. The patient has a medical history of congestive heart failure, which led to recent hospitalization. Examination A cardiac catheterization at that time showed a peak systolic gradient of 90 mmHg between the left ventricle and the aorta. During anesthetic induction with fentanyl and vecuronium, the patient develops a junctional rhythm and severe hypotension.
How will you anesthetize this patient for cardiac or noncardiac surgery? *This case is from the Editorial team of Docplexus and is meant for educative purposes only. (The correct answer is posted in the comment section below!)
