Journals / Türk Anestezi ve Reanimasyon Dergisi / 2003 / Cilt: 31 - Sayı: 5

Emergent anesthesia management of a premature case with asplenia syndrome and complex congenital heart disease

Aspleni sendromu ve kompleks konjenital kalp hastalığına sahip prematüre olguda acil anestezik yaklaşım

Pages
258–260
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

He died at the postoperative fourth day because of heart failure and sepsis.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:A premature case with asplenia syndrome and complex congenital heart disease underwent an urgent laparotomy.
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Key Findings & Data:After general anesthesia induction with fentanyl, atracurium and sevoflurane, single shot caudal anesthesia with bupivacaine was performed.
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Conclusion & Impact:He died at the postoperative fourth day because of heart failure and sepsis.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

A premature case with asplenia syndrome and complex congenital heart disease underwent an urgent laparotomy. After general anesthesia induction with fentanyl, atracurium and sevoflurane, single shot caudal anesthesia with bupivacaine was performed. There was no complication during the operation. The case was not extubated and transported to paediatric intensive care unit. He died at the postoperative fourth day because of heart failure and sepsis.

Özet

Aspleni sendromu ve kompleks konjenital kalp hastalığına sahip prematüre olgu acil laparatomiye alındı. Fentanil, artrakuryum ve sevofluran ile genel anestezi indüksiyonu sonrası bupivakain ile tek doz kaudal anestezi uygulandı. Ameliyat sırasında herhangi bir komplikasyon olmadı. Olgu ekstübe edilmedi ve pediyatrik cerrahi yoğun bakım ünitesine alındı. Ameliyat sonrası 4. günde kalp yetmezliği ve sepsis nedeniyle olgu kaybedildi.

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Cite This Article

KÖROĞLU, A., TOĞAL, T., ÇİÇEK, M., ÖZPOLAT, S., ERSOY, M. Ö., KARADAĞ, N. (2022). Emergent anesthesia management of a premature case with asplenia syndrome and complex congenital heart disease. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 31 - Sayı: 5, 258–260. https://ajindex.com/articles/620246

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References (13)

  1. Kenneth LJ: Smith's Recognisable Patterns of Human Malformation, 4th edn. Philadelphia: W.B. Saunders 1988; p.543-4
  2. Rubino M, Praagh SV, Kadoba K, Pessotlo R, Praagh RV: Systemic and venous connections in visceral heterotaxy with asplenia. J Thorac Cardiovasc Surg 1995; 110:641-50
  3. Casey BC, Barbara LG, Ronald WD, Hillel L, Roberta GW: Factors influencing survival of patients with heterotaxy syndrome undergoing the Fontan Procedure. J Am Coll Cardiol 1992; 20:678-84
  4. Mauser T, Deutinger J, Bernaschek G: Prenatal diagnosis of a complex foetal cardiac malformation associated with asplenia. Br Heart J 1991; 65:293-5
  5. Morishima M, Ando M, Takao A: Visceroatrial heterotaxy syndrome in the NOD mouse with special reference to utrial situs. Teratology 1991; 44:91-100
  6. Uchida K, Ando T, Okuda C: Anesthetic management of an infant with a single ventricle (asplenia syndrome) for non-cardiac surgery. Masui 1992; 41(11):1793
  7. Reid RW, Burrows FA, Hickey PR: Anesthesia for children undergoing heart surgery. In: Cote CJ, Ryan IF, Todres İD, et al, Eds. A Practice for Anesthesia for Infants and Children, 3rd edn. Philadelphia: W.B. Saunders, 2001; p.391-413
  8. Russel IA, Miller HWC, Gregory G: The safety efficacy of sevoflurane anesthesia in infants and children with congenital heart disease. Anesth Analg2001; 921:1152-8
  9. Gunter JB, Watcha FM, Forestner JE, et al: Caudal anesthesia in conscious premature and high-risk, infants. J Pediatr Surg 1991; 26:9-14
  10. Lake CL: Anesthesia for Patients with Congenital Heart Disease. In: Kaplan JA, eds. Cardiac Anesthesia, 4th edn. Philadelphia: W.B. Saunders, 1999; p.785-820, 11. Veyckemans F, Obbergh VLJ, Gouvernaur JM: Lessons from 1100 paediatric caudal block in teaching hospital. Reg Anaesth 1992; 17:119-25
  11. Colins V: Caudal Analgesia: Principles of Anesthesiology, 3rd edn. Malvern: Lea and Febiger 1993; p.l6ll-21
  12. Polaner DM, Suresh S, Cote CJ: Paediatric Regional Anesthesia. In: Cote CJ, Ryan JF, Todres ID, et al. Eds. A practice of Anesthesia for Infants and Children, 3rd edn. Philadelphia: W.B. Saunders 2001; p.636-74
  13. Waldman JD, Rosenthal A, Smith AL, Shurin S, Nadas AS: Sepsis and congenital asplenia. J Peditr 1977; 90:555-9.