A 65-year-old woman presents for aortic valve replacement. The patient had an episode of congestive heart failure, which led to a recent hospital admission. 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. Which could be the best possible way to anesthetize this patient for cardiac or noncardiac surgery? *This case is from Docplexus Editorial Team for educative purpose only Source: Cases in anesthesiology