Anaesthetic management in a neonate with congenital complete heart block

被引:6
|
作者
Castilla, M [1 ]
Jerez, M [1 ]
Llacer, M [1 ]
Martinez, S [1 ]
机构
[1] Childrens Hosp Carlos Haya, Malaga, Spain
来源
PAEDIATRIC ANAESTHESIA | 2004年 / 14卷 / 02期
关键词
systemic lupus erythematosus; congenital complete heart block; anaesthetic management;
D O I
10.1046/j.1460-9592.2003.01180.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We present the case of a neonate undergoing surgery on the first day of life for the installation of a permanent pacemaker because of the existence of congenital complete heart block (CCHB) with a basal heart rate of 43 b.min(-1) and minimal elevation after initiating an isoproterenol perfusion. The intervention was under general anaesthesia with laryngeal mask airway (LMA(TM)) and spontaneous ventilation. The principal anaesthetic goals were to assure adequate anaesthesia, with haemodynamic and respiratory stability, to maintain the best possible heart rate and to avoid postoperative respiratory depression or apnoea.
引用
收藏
页码:172 / 175
页数:4
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