Anesthetic management of an adult patient with uncorrected ventricular septal defect posted for open cholecystectomy
Journal Title: International Journal of Medical Science and Public Health - Year 2015, Vol 4, Issue 6
Abstract
Ventricular septal defect is an acyanotic congenital heart disease, characterized by a left-to-right shunt. The incidence varies between two and six per 1000 live births. It is found in 30% to 60% of all the newborns with congenital heart disease, thus making it one of the most common congenital heart diseases. It can lead to significant hemodynamic changes and patient morbidity and mortality perioperatively, thus posing a challenge to the anesthesiologists. Here, we report the perioperative management of an adult patient with ventricular septal defect and pulmonary steno - sis, posted for cholecystectomy, which was successfully managed with general anesthesia and thoracic epidural analgesia.
Authors and Affiliations
Prajwal Patel HS, Rashmi HD, Usha Devi, Meera Balasubramanyam, Aditi Prabhu
Keywords
Related Articles
- EP ID EP122544
- DOI 10.5455/ijmsph.2015.06012015160
- Views 87
- Downloads 0
Staphylococcal scalded skin syndrome in a neonate presenting in the first 24 h of life
Staphylococcal scalded skin syndrome (SSSS) is an immense desquamating erythematous skin infection with features such as blistering and epidermal peeling. SSSS is rare in neonates presenting within 24 h of life in both...
A study of the utility of lactate dehydrogenase, total proteins, and adenosine deaminase in the diagnosis of pleural exudates: A new statistical approach
Background: Pleural fl uid (PF) may be transudative or exudative. Total protein estimation from PF is used to detect exudative pleural effusion. Objectives: To determine the role of new suggested criteria consistin...
Health problems in children and associated remedial measures in Punjab, India
Background: Majority of child deaths that occur worldwide are due to preventable causes. Maternal practices regarding children ’ s health care have been recognized as an important factor behind mortality. Improving f...
Estrogen-sensitive hereditary angioedema type II: a case report and review
Hereditary angioedema (HAE) is a rare autosomal condition due to inherited deficiency of C1 esterase inhibitor (C1INH). Estrogen reduces the concentration of C1INH and trigger angioedema; however, the estrogen sen...
Drug utilization study in medical intensive care unit in a rural tertiary care teaching hospital in Maharashtra
Background: Drug utilization study is an important tool to study the clinical use of drugs and its impact on healthcare system. There is limited data from Indian medical intensive care unit (MICUs) on prescription patter...