Lake CL

Language: English
References: 6
Page: 63-66
PDF size: 76.79 Kb.

Text Extraction

A 4.5 year old, 12 kg female with pulmonary and tricuspid atresia (functionally a single ventricle), transposition of the great arteries, Down syndrome, and radiologic evidence of cervical spine hypermobility needs extensive dental restorative surgery under general anesthesia. She has a functioning right Blalock Taussig shunt, performed at five days of age. Her hematocrit is 55% and the child is visibly cyanotic. She has a history of congestive heart failure for which she takes digoxin.

REFERENCES

1. Moore RA. Preoperative evaluation and preparation of the pediatric patient with cardiac disease. In: Lake CL, Booker P (ed): Pediatric Cardiac Anesthesia. Fourth Edition. Lippincott Williams & Wilkins, 2004 In Press.

2. Frankville DD. Anesthesia for noncardiac surgery in children and adults with congenital heart disease. In: Lake CL, Booker P (ed): Pediatric Cardiac Anesthesia. Fourth Edition. Lippincott Williams & Wilkins, 2004 In Press.

3. Strafford ME, et al. Anesthetic morbidity in congenital heart disease patients undergoing non-cardiac surgery. Anesthesiology 1991;75: A1056.

4. Morray J, et al. Increased perioperative risk following repair of congenital heart disease in Down’s syndrome. Anesthesiology 1986;65:221.

5. Nicolson SC, et al. Shortened preanesthetic fasting interval in pediatric cardiac surgical patients. Anesth Analg 1992;74:694.

6. Fletcher R. Gas exchange during anesthesia and controlled ventilation in children with congenital heart disease. Paediatric Anaesthesia 1993;3:5-17.