Tetralogy of Fallot is the most common cause of cyanotic congenital heart disease that consists of four defects. Children with uncorrected tetralogy of fallot can present for non-cardiac surgeries. Such patients are prone to develop cerebral abscess because of right to left shunting of blood and absence of pulmonary clearance of microorganisms. These cases are a significant challenge for anesthesiologists. General anesthesia is a riskier anesthetic technique. I present a case of six years male child with uncorrected tetralogy of fallot who underwent drainage of brain abscess under scalp block with sedation and had uneventful recovery. Key words: Tetralogy of Fallot; Cyanotic heart disease; cerebral abscess; Scalp block Citation: Ayesha K. Anesthetic management for drainage of cerebral abscess in a child with uncorrected Tetralogy of Fallot. Anaesth. pain intensive care 2022;26(6):819−822; DOI: 10.35975/apic.v26i6.2004