Repair of late-presenting right Bochdalek hernia in a patient with uncorrected tetralogy of Fallot: Anaesthetic management

Saikia, Priyam; Talukdar, Faiza Ahmed; Phukan, Bulen; Chakraborty, Kishalaya

doi:10.4103/0019-5049.170041

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2019

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“…5 Ketamine in combination with fentanyl can also be used. 4 But in this case, sevoflurane was preferred as the 2D echo of the child revealed a patent PDA and there was significant pulmonary blood flow. But careful titration is required to prevent a fall in SVR.…”

Section: Discussionmentioning

confidence: 87%

See 1 more Smart Citation

Anesthetic Management for Transverse Colostomy in a Neonate with Anorectal Malformation and Uncorrected Tetralogy of Fallot

Bhalerao¹,

S²,

Kamble³

et al. 2019

Journal of Research &Amp; Innovation in Anesthesia

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Tetralogy of fallot (TOF) is a cyanotic congenital heart disease (CHD) characterized by aortic over riding, right ventricular outflow tract (RVOT) obstruction, pulmonary stenosis, and ventricular septal defect (VSD). We report a case of a neonate with TOF and anorectal malformation posted for a transverse colostomy. During this procedure, our objectives were to prevent cyanotic spells, balance pulmonary vascular resistance, and systemic vascular resistance.

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Section: Discussionmentioning

confidence: 87%

“…3 Esmolol 0.5 mg/kg bolus IV followed by 50-300 µg/kg/minute helps reduce infundibular spasm and thereby is used for both prophylaxis and treatment of cyanotic spells. 4 Treatment of metabolic acidiosis, volume resuscitation, and manual compression of aorta are also to kept in mind during episodes of cyanotic spells.…”

Section: Discussionmentioning

confidence: 99%