Anesthesia for the Patient with A Single Ventricle

Anesthetic management of tracheoesophageal fistula repair in a newborn with hypoplastic left heart syndrome

“…These principles include a strategy of balancing the pulmonary (Qp) and systemic (Qs) circulations with the goal of maintaining Qp: Qs slightly £1. It has been proposed that this ratio ensures optimum oxygen delivery to the tissues; indeed this concept is supported by theoretical calculations (4), animal models (5) and clinical experience (1).…”

“…The anesthesia care of newborns with hypoplastic left heart syndrome (HLHS) has received considerable attention over the last decade. The widespread adoption of the Norwood procedure for cardiac palliation has promoted a better understanding of single ventricle physiology among pediatric intensivists and anesthesiologists, and has resulted in management guidelines based upon the unique physiology of their circulation (1). However, these infants may suffer from coexisting congenital anomalies and acquired diseases that considerably complicate their management and may increase mortality.…”