{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T16:39:11Z","timestamp":1740155951155,"version":"3.37.3"},"reference-count":0,"publisher":"Nepal Journals Online (JOL)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Kathmandu Univ. Med. J."],"abstract":"<jats:p>Dermatomyositis is an idiopathic inflammatory myopathy with involvement of muscle, skin and other organs. Valvular heart disease increases the risk of perioperative adverse cardiac events. Only a little information is available about the anaesthetic management of a patient with dermatomyositis and valvular heart disease. Here we considered combined spinal-epidural technique for total abdominal hysterectomy, minimizing the risk of delayed recovery from muscle relaxants, aspiration pneumonitis, arrhythmias and cardiac failure. Kathmandu University Medical Journal | Vol.10 | No. 2 | Issue 38 | Apr \u2013 June 2012 | Page 100-102 DOI: http:\/\/dx.doi.org\/10.3126\/kumj.v10i2.7355<\/jats:p>","DOI":"10.3126\/kumj.v10i2.7355","type":"journal-article","created":{"date-parts":[[2013,1,4]],"date-time":"2013-01-04T06:57:56Z","timestamp":1357282676000},"page":"100-102","source":"Crossref","is-referenced-by-count":0,"title":["Anaesthetic Management of a Patient with Dermatomyositis and Valvular Heart Disease"],"prefix":"10.3126","volume":"10","author":[{"given":"GS","family":"Shrestha","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Aryal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1670","published-online":{"date-parts":[[2013,1,3]]},"container-title":["Kathmandu University Medical Journal"],"original-title":[],"link":[{"URL":"https:\/\/www.nepjol.info\/index.php\/KUMJ\/article\/download\/7355\/5968","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nepjol.info\/index.php\/KUMJ\/article\/download\/7355\/5968","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,12,25]],"date-time":"2018-12-25T15:46:50Z","timestamp":1545752810000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nepjol.info\/index.php\/KUMJ\/article\/view\/7355"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1,3]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2013,1,4]]}},"URL":"https:\/\/doi.org\/10.3126\/kumj.v10i2.7355","relation":{},"ISSN":["1812-2078","1812-2027"],"issn-type":[{"type":"electronic","value":"1812-2078"},{"type":"print","value":"1812-2027"}],"subject":[],"published":{"date-parts":[[2013,1,3]]}}}