Anaesthesia for Complex Cyanotic Congenital Cardiac Disease in a Child for Emergency Laparotomy
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 11
Abstract
Transposition of great arteries is a rare and serious congenital cyanotic disorder in which two main arteries leaving the heart are reversed or transposed. Transposition of the great arteries changes the way blood circulates through the body, leaving a shortage of oxygen in blood flowing through the heart to the rest of the body. These patients are at high risk of perioperative mortality due to ventricular dysfunction, chronic hypoxia, hypercyanotic spells, polycythemia and infective endocarditis [1]. Very limited studies are available regarding anaesthetic consideration in patients with uncorrected DTGA with other congenital cardiac defects like ventricular septal defect (VSD) and pulmonic stenosis. This case report highlights the anaesthetic challenges in an uncorrected transposition of great arteries along with other congenital cardiac defects for an emergency noncardiac surgery in a critically ill pediatric patient.
Authors and Affiliations
Uma Hariharan
Intubation Sans Relaxant: Propofol VS. Triple Nerve Block
Aims: Methods that avoid use of muscle relaxants during intubation help us when their use would be detrimental to the patient/situation. Here we aim at intubations without muscle relaxants which could be of great signifi...
Evaluation of Intrathecal Dexmeditomedine as an Adjuvant to Hyperbaric Bupivacaine in Gynaecological Surgeries
Background: Intrathecal dexmeditomedine is being used as an adjuvant to the local anesthetic agents. Dexmeditomedine has sedative and analgesic action. This study was carried out with the aim to observe and compare the o...
A Comparative Study of Intubating Condition and Hemodynamic Responses Using Propofol or Thiopentone without Muscle Relaxants
Introduction: Muscle relaxants are frequently used to facilitate endotracheal intubation during the induction of anesthesia. However, the administration of short-acting depolarizing muscle relaxants is associated with po...
Pre-Emptive Oral Gabapentin for Postoperative Laproscopic Shoulder Pain Relief in Patients Undergoing Elective Abdominal
Background: In laparoscopic surgery acute postoperative shoulder tip pain is common entity despite of the use of new drugs and novel drug delivery modalities, studies have shown that acute post-operative pain continues t...
Anesthesia Considerations for Ophthalmic Surgeries
There are special concerns in ophthalmic surgeries, as most of these patients are elderly patients with multiple systemic diseases, pediatric patients, often premature with congenital syndromes, some of them may have lim...