Case Report: Emergency awake craniotomy for cerebral abscess in a patient with unrepaired cyanotic congenital heart disease

We report the case of a 39-year-old male with complex cyanotic congenital heart disease undergoing emergency craniotomy for a cerebral abscess. Maintenance of intraoperative hemodynamic stability and adequate tissue oxygenation during anesthesia may be challenging in patients with cyanotic congenita...

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Detalles Bibliográficos
Autores principales: D’Antico, Corinne, Hofer, André, Fassl, Jens, Tobler, Daniel, Zumofen, Daniel, Steiner, Luzius A., Goettel, Nicolai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: F1000Research 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5115221/
https://www.ncbi.nlm.nih.gov/pubmed/27928498
http://dx.doi.org/10.12688/f1000research.9722.2
Descripción
Sumario:We report the case of a 39-year-old male with complex cyanotic congenital heart disease undergoing emergency craniotomy for a cerebral abscess. Maintenance of intraoperative hemodynamic stability and adequate tissue oxygenation during anesthesia may be challenging in patients with cyanotic congenital heart disease. In this case, we decided to perform the surgery as an awake craniotomy after interdisciplinary consensus. We discuss general aspects of anesthetic management during awake craniotomy and specific concerns in the perioperative care of patients with congenital heart disease.

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