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

研究成果: ジャーナルへの寄稿記事

抄録

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.

元の言語英語
ページ(範囲)291-295
ページ数5
ジャーナルJapanese Journal of Anesthesiology
65
発行部数3
出版物ステータス出版済み - 3 1 2016

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Tetralogy of Fallot
Anesthesia
Arteries
General Anesthesia
Tooth
Impedance Cardiography
Vecuronium Bromide
Midazolam
Propofol
Operating Rooms
Pulmonary Artery
Heart Diseases
Therapeutics
Catheters
Air
Mothers
Pressure
Pain
Infection
Pulmonary Atresia with Intact Ventricular Septum

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

これを引用

Anesthesia management of a patient with pulmonary atresia, intact ventricular septum, major aortopulmonary collateral artery and tetralogy of fallot. / Hitosugi, Takashi; Tsukamoto, Masanori; Ishii, Kentaro; Kadowaki, Masanori; Fujiwara, Shigeki; Yokoyama, Takeshi.

:: Japanese Journal of Anesthesiology, 巻 65, 番号 3, 01.03.2016, p. 291-295.

研究成果: ジャーナルへの寄稿記事

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