Anesthesia management of a patient with pulmonary atresia, intact ventricular septum, major aortopulmonary collateral artery and tetralogy of fallot

Takashi Hitosugi, Masanori Tsukamoto, Kentaro Ishii, Masanori Kadowaki, Shigeki Fujiwara, Takeshi Yokoyama

Research output: Contribution to journalArticlepeer-review

Abstract

The patient was a 6-year-old girl with pulmonary atresia, intact ventricular septum and major aortopulmonary collateral artery with tetralogy of Fallot Her Spo2 was around 60% under room air, and she could not walk long. She underwent dental treatment under general anesthesia. Invasive monitoring using pulmonary artery catheter should have been avoided, since the risk of monitoring greatly exceeds that of the treatment. The patient entered the operating room with her mother, and anesthesia was induced with intravenous midazolam, propofol and vecuronium. She was intubated orally first and impedance cardiography monitoring was started. FIO2 was maintained at 0.5-1.0. Increases in airway pressure and PaCo2 were appropriately avoided. Dental treatment is important for infants with cardiac disease not only to reduce their pain, but also to reduce the risk of infection. It often requires general anesthesia. We have to conduct it with less invasiveness and less stress.

Original languageEnglish
Pages (from-to)291-295
Number of pages5
JournalJapanese Journal of Anesthesiology
Volume65
Issue number3
Publication statusPublished - Mar 2016

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

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