Considerations Regarding Anesthetic Management of Scoliosis Surgery in Patients with Total Cavopulmonary Connection (TCPC)

DOI Web Site 1 Citations 1 References Open Access

Bibliographic Information

Other Title
  • Total Cavopulmonary Connection（TCPC）術後に脊椎側弯症の手術を行った3症例

Search this article

Description

Advances in the surgical and medical management of children with congenital heart disease have reduced mortality in these patients. As a result, more patients are undergoing non-cardiac surgery.<BR>We anesthetized three patients for idiopathic scoliosis surgery who underwent Fontan procedures. We consulted with orthopedists before the operations to reduce operative time and avoid a drastic correction of the spine. We attempted to minimize pulmonary vascular resistance and to extubate as soon as possible. We used FloTracTM and PreSep oximetry catheterTM to monitor blood pressure, cardiac index, central venous pressure, and central venous oxygen saturation. To maintain good hemodynamic states, adequate single ventricle preload and appropriate administration of fluid and blood are needed.<BR>In anesthetic management of patients with the Fontan circulation for scoliosis surgery, it is important to understand the pathophysiology of the Fontan circulation and perioperative care.

Journal

Citations (1)*help

See more

References(1)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top