Anesthetic Challenges in an Infant With Tetralogy of Fallot Posted for Non-cardiac Surgery: A Case Report and Literature Review

The goal of this article is to provide an up-to-date and comprehensive review of the current perioperative anesthetic management of pediatric patients with congenital heart disease (CHD) undergoing non-cardiac surgery. This report discusses a case of a nine-month-old female with Tetralogy of Fallot...

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Detalles Bibliográficos
Autores principales: Verma, Neeta, Madavi, Sheetal, Jadhav, Jui A, Dash, Sambit, Chandak, Aruna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Pediatric Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10657144/
https://www.ncbi.nlm.nih.gov/pubmed/38022008
http://dx.doi.org/10.7759/cureus.47327
Descripción
Sumario:The goal of this article is to provide an up-to-date and comprehensive review of the current perioperative anesthetic management of pediatric patients with congenital heart disease (CHD) undergoing non-cardiac surgery. This report discusses a case of a nine-month-old female with Tetralogy of Fallot who was scheduled for non-cardiac surgery for anorectal malformation stage 1 and stage 2 repair. This case study discusses how to adjust perioperative anesthesia care in cases of left-to-right shunt, right-to-left shunt, and complex cardiac disease. In addition, the author discusses special considerations such as pulmonary hypertension, newborns with CHD undergoing extracardiac surgery, and the importance of regional anesthesia in children with CHD undergoing non-cardiac surgery.

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